Aravinthan Balaguru
Psychologist, Clinical in Fremont, CA. Individual provider (NPI-1).
NPI number1104130822
StatusActive
Last updated in NPPESJan 27, 2025
Details
- NPI
- 1104130822
- Entity type
- Individual (NPI-1)
- Name
- Aravinthan Balaguru
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 5, 2010
- Certification date
- Jan 27, 2025
- Last updated
- Jan 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY31336 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
39420 Liberty StSte 140
Fremont, CA 94538-2200
Phone 510-745-9151 · Fax 510-745-9152
Mailing address
39420 Liberty StSte 140
Fremont, CA 94538-2200
Phone 510-745-9151 · Fax 510-745-9152
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