Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Candice Balluru, PHD

Individual provider Psychologist · NPI 1700219508

Candice Balluru, PHD is a Psychologist in Lynnwood, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2013
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

16521 13th Ave W Ste 210
Lynnwood, WA 98037-8511
Phone: (425) 243-2522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PY60965267 (WA)

Record details

NPI number1700219508
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 15, 2013
Last updated in NPPESJanuary 28, 2025
Certification dateJanuary 28, 2025
Mailing address16232 Bothell Everett Hwy # 1038, Mill Creek, WA 98012-1520

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