Individual
DR. VIJAYKUMAR BALRAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
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
5706
OH
103T00000X
Psychologist
Primary
5706
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2219227
—
OH
01
—
311725449
TAX ID
OH
01
—
31172544900
WORKERS COMP
OH
Enumeration date
05/10/2006
Last updated
09/16/2024
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