RICHARD MELVIN BALABAN

BLOOMINGTON, IN
NPI1558342006
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: IN  20010327)
Enumeration Date2005-11-10
Last Update Date2007-10-30
Business Address
-- RICHARD MELVIN BALABAN PhD
101 W KIRKWOOD AVE SUITE 213
BLOOMINGTON, IN 47404-6129
Phone number: 812-332-9200
Mailing Address
-- RICHARD MELVIN BALABAN PhD
101 W. KIRKWOOD AVE SUITE 213
BLOOMINGTON, IN 47404-6134
Phone number: 812-332-9200