Doctor Name: | LAWRENCE EDWARD BALBACH |
NPI Number: | 1548447980 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSCP, NCC, LPC |
License Number: | PC004131 |
Business Practice Address: | 30 Warrendale Bayne Rd Suite 107 Warrendale, PA - 150867558 |
Business Phone Number: | 7249355353 |
Business Fax Number: | |
Mailing Address: | 30 Warrendale Bayne Rd, Suite 107 WARRENDALE |
State: | PA |
Postal Code: | 150867558 |
Phone Number: | 7249355353 |
Fax Number: | |
NPI Enumeration Date: | 01/29/2008 |
NPI Last Update Date: | 11/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC004131 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |