Provider Demographics
NPI:1871777904
Name:SINGH, RAVINDER KAUR
Entity type:Individual
Prefix:MRS
First Name:RAVINDER
Middle Name:KAUR
Last Name:SINGH
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:RAVINDER
Other - Middle Name:KAUR
Other - Last Name:GILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11 S TEILMAN AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93706
Mailing Address - Country:US
Mailing Address - Phone:559-488-7538
Mailing Address - Fax:559-441-1590
Practice Address - Street 1:11 S TEILMAN AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93706-1332
Practice Address - Country:US
Practice Address - Phone:559-488-7538
Practice Address - Fax:559-441-1590
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-26
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)