Organization
MEDPSYCH OHIO VALLEY , INC
Active
Other names
PSYCHOLOGICAL HEALTH SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIJAYKUMAR BALRAJ PHD (OWNER)
(614) 430-9697
Entity
Organization
Contact information
Practice address
8472 COTTER ST, LEWIS CENTER, OH 43035-7139
(614) 430-9697
(614) 430-9837
Mailing address
8472 COTTER ST, LEWIS CENTER, OH 43035-7139
(614) 430-9697
(614) 430-9837
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000323495
BCBS #
OH
05
—
2219227
—
OH
Enumeration date
05/15/2006
Last updated
03/08/2019
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