Provider Demographics
NPI:1427353259
Name:RAGNAT, RAJKUMARIE (MA)
Entity type:Individual
Prefix:MRS
First Name:RAJKUMARIE
Middle Name:
Last Name:RAGNAT
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MRS
Other - First Name:NADIA
Other - Middle Name:
Other - Last Name:RAGNAT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:290 QUARRY BROOK DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06074-6503
Mailing Address - Country:US
Mailing Address - Phone:860-622-0753
Mailing Address - Fax:
Practice Address - Street 1:91 NORTHWEST DR
Practice Address - Street 2:
Practice Address - City:PLAINVILLE
Practice Address - State:CT
Practice Address - Zip Code:06062-1534
Practice Address - Country:US
Practice Address - Phone:890-793-3500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-26
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health