Individual
DR. RAMASWAMY KAVITHA PERUMPARAICHALLAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2400 N CENTRAL AVE STE 204, PHOENIX, AZ 85004-1341
(623) 295-9119
(888) 819-1123
Mailing address
530 E MCDOWELL RD STE 107-427, PHOENIX, AZ 85004-1549
(602) 935-7152
(888) 819-1123
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
4203
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
651365
—
AZ
Enumeration date
07/18/2011
Last updated
08/18/2021
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