Individual
DR. ISHANI RAVINDRA DEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1051 E MABEL ST, TUCSON, AZ 85719
(520) 626-3100
Mailing address
3510 N CRAYCROFT RD APT 5208, TUCSON, AZ 85718-7284
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-005178
AZ
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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