Individual
ARAVINTHAN BALAGURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
39420 LIBERTY ST, STE 140, FREMONT, CA 94538-2200
(510) 745-9151
(510) 745-9152
Mailing address
39420 LIBERTY ST, STE 140, FREMONT, CA 94538-2200
(510) 745-9151
(510) 745-9152
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY31336
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/05/2010
Last updated
01/27/2025
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