Individual
SUSAN BALABAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 ANNA MARSH LANE, BRATTLEBORO, VT 05302-0101
(802) 257-7785
(802) 258-3723
Mailing address
1 ANNA MARSH LANE, BRATTLEBORO, VT 05302-0101
(802) 257-7785
(802) 258-3723
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
048-0110612
VT
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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