Provider Demographics
NPI:1114095494
Name:BHASIN, GAGANDEEP KAUR (PSYD)
Entity Type:Individual
Prefix:
First Name:GAGANDEEP
Middle Name:KAUR
Last Name:BHASIN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2729 4TH AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-6223
Mailing Address - Country:US
Mailing Address - Phone:619-733-7163
Mailing Address - Fax:619-550-0428
Practice Address - Street 1:2729 4TH AVE STE 3
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-6223
Practice Address - Country:US
Practice Address - Phone:619-733-7163
Practice Address - Fax:619-550-0428
Is Sole Proprietor?:No
Enumeration Date:2006-12-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health