Individual
MRS. RAVENDEEP LALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPS
Contact information
Practice address
37479 AVENUE 12, MADERA, CA 93636-8726
(559) 706-6104
Mailing address
37479 AVENUE 12, MADERA, CA 93636-8726
(559) 706-6104
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
230155947
CA
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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