Individual
SUDHAKAR RAVADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
202 N 8TH ST, EL CENTRO, CA 92243-2302
(442) 265-1525
Mailing address
505 W D ST, EL CENTRO, CA 92243
(442) 265-1525
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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