Individual
BRUCE P. BALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
322 STATE ROAD., VINEYARD HAVEN, MA 02568
(508) 696-7643
(508) 693-3036
Mailing address
64 WINEMACK AVE., PO BOX 106, OAK BLUFFS, MA 02557
(508) 696-7643
(508) 693-3036
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1018796
MA
Other
Enumeration date
10/11/2006
Last updated
05/03/2026
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