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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, PcInferred 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