Individual
MR. PRAPHUL SUHASH NIDURAM AMBEDKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1131 S PHEASANT DR, GILBERT, AZ 85296-3062
(480) 720-1360
Mailing address
1131 S PHEASANT DR, GILBERT, AZ 85296-3062
(480) 720-1360
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3839944
AZ
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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