Provider Demographics
NPI:1447087523
Name:RAJI, DOLAPO
Entity type:Individual
Prefix:
First Name:DOLAPO
Middle Name:
Last Name:RAJI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4708 RIDGEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201-2829
Mailing Address - Country:US
Mailing Address - Phone:701-335-3184
Mailing Address - Fax:
Practice Address - Street 1:4708 RIDGEWOOD LN
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201-2829
Practice Address - Country:US
Practice Address - Phone:701-335-3184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-13
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging