Individual
LUCILLE BALOGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MED
Contact information
Practice address
167 ABBY RD, FALLS, PA 18615-7772
(570) 881-7966
Mailing address
167 ABBY RD, FALLS, PA 18615-7772
(570) 881-7966
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS004991L
PA
103TS0200X
School Psychologist
—
PA
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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