Provider Demographics
NPI:1316124076
Name:GANDHI, SHEFALI (PSYD)
Entity type:Individual
Prefix:DR
First Name:SHEFALI
Middle Name:
Last Name:GANDHI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MRS
Other - First Name:SHEFALI
Other - Middle Name:MITESH
Other - Last Name:GANDHI-PATEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:13395 E SORREL LN
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85259-6315
Mailing Address - Country:US
Mailing Address - Phone:602-430-2051
Mailing Address - Fax:480-614-0435
Practice Address - Street 1:6615 N SCOTTSDALE RD STE 100
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85250-4407
Practice Address - Country:US
Practice Address - Phone:602-430-2051
Practice Address - Fax:480-614-0435
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-24
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3946103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical