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Individual

JAMES RICHARD RAIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH D

Contact information

Practice address
2200 WEST BROAD STREET, TWIN VALLEY, COLUMBUS, OH 43223
(614) 752-0333
(614) 752-0385
Mailing address
2200 WEST BROAD STREET, COLUMBUS, OH 43223-1297
(614) 752-0333

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1052
OH

Other

Enumeration date
10/27/2006
Last updated
07/08/2007
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