Provider Demographics
NPI:1285134361
Name:RANGAN COUNSELING AND PSYCHOLOGY, A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:RANGAN COUNSELING AND PSYCHOLOGY, A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHNA
Authorized Official - Middle Name:
Authorized Official - Last Name:RANGAN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:650-434-3076
Mailing Address - Street 1:825 SAN ANTONIO RD
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94303-4635
Mailing Address - Country:US
Mailing Address - Phone:650-434-3076
Mailing Address - Fax:
Practice Address - Street 1:825 SAN ANTONIO RD
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94303-4635
Practice Address - Country:US
Practice Address - Phone:650-434-3076
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-15
Last Update Date:2018-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29636103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty