Chakravarti, Prama

Chakravarti, Prama is an individual health care provider with primary practice located at 780 Swift Blvd , Richland WA 99352. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Chakravarti, Prama can be contacted via phone (509) 942-2028.

Contact Information

Primary practice address
780 Swift Blvd Richland WA 99352
Phone: (509) 942-2028
Fax: (509) 942-3218
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 20042688A Indiana
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PY60465923 Washington

Profile Details

NPI number 1447528369
LBN Legal business name Chakravarti, Prama
Credentials PHD, HSPP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2011
Last updated Feb 13th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447528369 NPPES
Washington MEDICAID PY60465923

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