Provider Demographics
NPI:1568186906
Name:BALABAN, LANE (LPC)
Entity type:Individual
Prefix:
First Name:LANE
Middle Name:
Last Name:BALABAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 ARISTOTLE WAY
Mailing Address - Street 2:
Mailing Address - City:EAST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08512-2550
Mailing Address - Country:US
Mailing Address - Phone:973-370-3143
Mailing Address - Fax:
Practice Address - Street 1:38 ARISTOTLE WAY
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08512-2550
Practice Address - Country:US
Practice Address - Phone:973-370-3143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-29
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional