Dr. Ivan C Balan, Ph.D.
Psychologist, Clinical in Sarasota, FL. Individual provider (NPI-1).
NPI number1629957865
StatusActive
Last updated in NPPESSep 1, 2025
Details
- NPI
- 1629957865
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ivan C Balan
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 1, 2025
- Certification date
- Sep 1, 2025
- Last updated
- Sep 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PY11149 | FL | Yes |
Practice location
3912 Glen Oaks Manor DrSarasota, FL 34232-1035
Phone 201-725-0565
Mailing address
3912 Glen Oaks Manor DrSarasota, FL 34232-1035
Phone 201-725-0565
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