Individual
DR. MICHAEL JORDAN BALSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1325 DENNISTON ST, PITTSBURGH, PA 15217-1330
(412) 212-7117
Mailing address
1325 DENNISTON ST, PITTSBURGH, PA 15217-1330
(412) 212-7117
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
38708
TX
103TC1900X
Counseling Psychologist
PS019658
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38708
TEXAS BEHAVIORAL HEALTH EXECUTIVE COUNCIL LICENSE NUMBER
TX
01
—
PS019658
PENNSYLVANIA DEPARTMENT OF STATE
PA
01
—
PSY200001600
DISTRICT OF COLUMBIA DEPT OF HEALTH
DC
Enumeration date
09/13/2021
Last updated
09/11/2024
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