Individual
DR. RANI HANTLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2946 E BANNER GATEWAY DR, GILBERT, AZ 85234-2165
(480) 634-3454
Mailing address
1640 W ORCHID LN, CHANDLER, AZ 85224-4081
(480) 634-3454
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
PSY-005634
AZ
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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