Provider Demographics
NPI:1740397223
Name:LALAJI, ROOPAL PUJARA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ROOPAL
Middle Name:PUJARA
Last Name:LALAJI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:ROOPAL
Other - Middle Name:
Other - Last Name:PUJARA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:1655 N CALIFORNIA BLVD
Mailing Address - Street 2:UNIT 203
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-4463
Mailing Address - Country:US
Mailing Address - Phone:646-483-3247
Mailing Address - Fax:
Practice Address - Street 1:1655 N CALIFORNIA BLVD
Practice Address - Street 2:UNIT 203
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-4463
Practice Address - Country:US
Practice Address - Phone:646-483-3247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071006843103TC0700X
MI6301013440103TC0700X
CAPSY22277103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical