Provider Demographics
NPI:1275651812
Name:RAO, PRIYA KAUR (PHD)
Entity Type:Individual
Prefix:DR
First Name:PRIYA
Middle Name:KAUR
Last Name:RAO
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 1:39555 ORCHARD HILL PL STE 600
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-5381
Mailing Address - Country:US
Mailing Address - Phone:248-989-3005
Mailing Address - Fax:413-751-7582
Practice Address - Street 1:39555 ORCHARD HILL PLACE
Practice Address - Street 2:SUITE 600
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-5381
Practice Address - Country:US
Practice Address - Phone:248-989-3005
Practice Address - Fax:413-751-7582
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301011888103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty