Individual
DR. ELENA A. BALZAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1419 BEACON ST, SUITE 33, BROOKLINE, MA 02446-4808
(617) 792-8761
Mailing address
1419 BEACON ST, SUITE 33, BROOKLINE, MA 02446-4808
(617) 792-8761
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
7425
MA
103TC0700X
Clinical Psychologist
7425
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W05787
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/30/2007
Last updated
09/11/2025
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