Individual
DR. TONITA BALCOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
245 S MAIN ST, PENNINGTON, NJ 08534
(609) 283-2425
Mailing address
245 S MAIN ST, PENNINGTON, NJ 08534-2837
(609) 283-2425
(609) 403-6191
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35S100525100
NJ
Other
Enumeration date
08/21/2014
Last updated
07/02/2018
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