Provider Demographics
NPI:1164299111
Name:RAO, MRNALINI (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MRNALINI
Middle Name:
Last Name:RAO
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 1:4424 N RAVENSWOOD AVE STE A
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-5803
Mailing Address - Country:US
Mailing Address - Phone:312-210-0303
Mailing Address - Fax:
Practice Address - Street 1:4424 N RAVENSWOOD AVE STE A
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-5803
Practice Address - Country:US
Practice Address - Phone:312-210-0303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health