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Richard Balaban, PHD

NPI 1558342006 · on the registry since 2005 · sole proprietor

Practice

Address
101 W Kirkwood Ave
Suite 213
Bloomington, IN 47404
Phone
(812) 332-9200
Fax
(812) 334-2522
Organisation at this address
Optiks Llc
Mjg Services Llc
Boundless Edge Llc
Ossip Optometry, P.C
Hoosier Psychiatry, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
26

Registry record

Primary taxonomy
Clinical Psychologist
103TC0700X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-10-30
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana