Provider Demographics
NPI:1811198237
Name:SHIRAHATTI, PRIYADARSHINI (MHC)
Entity type:Individual
Prefix:MRS
First Name:PRIYADARSHINI
Middle Name:
Last Name:SHIRAHATTI
Suffix:
Gender:F
Credentials:MHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3608 FLORA VISTA AVE
Mailing Address - Street 2:APT # 222
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-3515
Mailing Address - Country:US
Mailing Address - Phone:408-244-0213
Mailing Address - Fax:
Practice Address - Street 1:3608 FLORA VISTA AVE
Practice Address - Street 2:APT # 222
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-3515
Practice Address - Country:US
Practice Address - Phone:408-244-0213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health