Individual
SUDHAKAR RAVADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PSB94029134
CA
103T00000X
Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TC0700X
Clinical Psychologist
PSB94029134
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
04/25/2022
Last updated
01/29/2026
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