Individual
DR. JACOB RAAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
420 N JAMES RD, COLUMBUS, OH 43219
(614) 257-5200
Mailing address
3848 ROCKY GLN APT B, COLUMBUS, OH 43230-3487
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
07707
OH
103T00000X
Psychologist
07707
OH
Other
Enumeration date
06/13/2018
Last updated
09/04/2018
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