Provider Demographics
NPI:1992893440
Name:PRAJAPATI, RINA LAD (BA)
Entity type:Individual
Prefix:
First Name:RINA
Middle Name:LAD
Last Name:PRAJAPATI
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:999 ASYLUM AVE
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06105-2416
Mailing Address - Country:US
Mailing Address - Phone:860-548-0030
Mailing Address - Fax:860-548-0041
Practice Address - Street 1:336 CENTER RD
Practice Address - Street 2:APT. 15D
Practice Address - City:VERNON
Practice Address - State:CT
Practice Address - Zip Code:06066-4179
Practice Address - Country:US
Practice Address - Phone:860-454-4883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor