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NPI Code Detail

MEDICARE: DR. DARA N RAMPERSAD PH.D., LPC., NCC

MEDICARE: DR. DARA N RAMPERSAD PH.D., LPC., NCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPC-4744CO
2101YP2500XProfessional CounselorLPC-12792AZ
3103TF0200XForensic PsychologistPSY-1275HI

General Provider Information

NPI Number : 1336337583
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DARA N RAMPERSAD PH.D., LPC., NCC
Provider Business Mailing Address
First Line : 3003 N CENTRAL AVE
Second Line : STE 200
City : PHOENIX
State : AZ
Zip : 85012-2902
Country : US
Telephone Number : 602-302-7896
Fax Number : 602-302-7925
Provider Business Practice Location Address
First Line : 1802 E THOMAS RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-8134
Country : US
Telephone Number : 602-302-7807
Fax Number : 602-258-6140
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2007
Last Update Date : 07/08/2015

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