Individual
JIM RAY BROYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3796 BROADWAY, GROVE CITY, OH 43123
(614) 871-0035
(614) 539-0069
Mailing address
3796 BROADWAY, GROVE CITY, OH 43123
(614) 871-0035
(614) 539-0069
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
5180
OH
Other
Enumeration date
12/29/2005
Last updated
10/07/2011
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