Provider Demographics
NPI:1407046733
Name:BHATIA, TARANJIT KAUR (PSYD)
Entity Type:Individual
Prefix:DR
First Name:TARANJIT
Middle Name:KAUR
Last Name:BHATIA
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 1:75 EXECUTIVE DR
Mailing Address - Street 2:443
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-8137
Mailing Address - Country:US
Mailing Address - Phone:630-448-8000
Mailing Address - Fax:630-448-8001
Practice Address - Street 1:75 EXECUTIVE DR
Practice Address - Street 2:443
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-8137
Practice Address - Country:US
Practice Address - Phone:630-448-8000
Practice Address - Fax:630-448-8001
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-01
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071.008302103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical