Healthcare Provider Details

I. General information

NPI: 1447582937
Provider Name (Legal Business Name): SHEFALI GANDHI, PSY.D., P.L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2010
Last Update Date: 02/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7120 E 6TH AVE SUITE 20
SCOTTSDALE AZ
85251-3228
US

IV. Provider business mailing address

13395 E SORREL LN
SCOTTSDALE AZ
85259-6315
US

V. Phone/Fax

Practice location:
  • Phone: 602-430-2051
  • Fax: 480-614-0435
Mailing address:
  • Phone: 602-430-2051
  • Fax: 480-614-0435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number3946
License Number StateAZ

VIII. Authorized Official

Name: DR. SHEFALI GANDHI
Title or Position: LICENSED PSYCHOLOGIST
Credential: PSY.D.
Phone: 602-430-2051