Lauri Balk PSYD PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4-01P Issued in AR

Legal business name

LAURI BALK PSYD PLLC

Practice address

1 W Sunbridge Dr
Fayetteville, AR 72703-1825

Phone

(479) 443-5575

NPI assigned

Sep 30, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lauri Balk, PSYD

Title

President

Phone

(479) 443-5575

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1972906303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W SUNBRIDGE DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727031825",
            "telephone_number": "479-443-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W SUNBRIDGE DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727031825",
            "telephone_number": "479-443-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURI BALK PSYD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "BALK",
        "authorized_official_first_name": "LAURI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-443-5575",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "4-01P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethan Latimer, M.D.
• Fabian Enrique Latorre Jr., MD
• Sara Laughinghouse, LPC
• Seth Andrew Laughter, PT, DPT, OCS
• Laura T Bailey Aprn PLLC
• Collette Lavoi, DPT, PT
• Jennifer Lavoro, L.AC.
• Erin Lawellin
• Ashley Ann Lawrence, PHARM.D.
• Katrina Lawson, LCSW

• Clinical Psychologist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Clinical Psychologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.