Individual
JOHN W BALCHUNAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1215 HIGH ST, BOWLING GREEN, KY 42101-2541
(270) 782-1116
(270) 782-9108
Mailing address
1215 HIGH ST, BOWLING GREEN, KY 42101-2541
(270) 782-1116
(270) 782-9108
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0743
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30610026
—
KY
Enumeration date
08/12/2006
Last updated
08/02/2010
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