Provider Demographics
NPI:1144613548
Name:NATRAJAN-TYAGI, RAJESWARI (PHD)
Entity Type:Individual
Prefix:DR
First Name:RAJESWARI
Middle Name:
Last Name:NATRAJAN-TYAGI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2855 MICHELLE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-1023
Mailing Address - Country:US
Mailing Address - Phone:949-812-7456
Mailing Address - Fax:
Practice Address - Street 1:2855 MICHELLE
Practice Address - Street 2:SUITE 300
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92606-1023
Practice Address - Country:US
Practice Address - Phone:949-812-7456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-09
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT53549106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist