Individual
DR. RAJA DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
7066 STILLWATER BLVD N, OAKDALE, MN 55128-3937
(651) 777-5222
(651) 251-5111
Mailing address
7066 STILLWATER BLVD N, OAKDALE, MN 55128-3937
(651) 777-5222
(651) 251-5111
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4499
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1041063
P1
MN
01
—
131657
UC
MN
01
—
233024
CP
MN
01
—
260K5DA
BCBS
MN
01
—
40889
HP
MN
Enumeration date
07/14/2006
Last updated
07/08/2007
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