Bingi, Revathi B

Bingi, Revathi B is an individual health care provider with primary practice located at 1910 Saint Joe Center Rd Suite 44, Fort Wayne IN 46825-5000. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Bingi, Revathi B can be contacted via phone (260) 471-8033.

Contact Information

Primary practice address
1910 Saint Joe Center Rd Suite 44 Fort Wayne IN 46825-5000
Phone: (260) 471-8033
Fax: (260) 471-8107
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39000013A Indiana
Behavioral Health & Social Service Providers / Psychologist 103T00000X 00248
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20041075A Indiana
Behavioral Health & Social Service Providers / Counseling 103TC1900X 20041075A Indiana

Profile Details

NPI number 1467406538
LBN Legal business name Bingi, Revathi B
Credentials ED.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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