Provider Demographics
NPI:1447582937
Name:SHEFALI GANDHI, PSY.D., P.L.L.C.
Entity Type:Organization
Organization Name:SHEFALI GANDHI, PSY.D., P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHEFALI
Authorized Official - Middle Name:
Authorized Official - Last Name:GANDHI
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:602-430-2051
Mailing Address - Street 1:13395 E SORREL LN
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85259-6315
Mailing Address - Country:US
Mailing Address - Phone:602-430-2051
Mailing Address - Fax:480-614-0435
Practice Address - Street 1:7120 E 6TH AVE
Practice Address - Street 2:SUITE 20
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-3228
Practice Address - Country:US
Practice Address - Phone:602-430-2051
Practice Address - Fax:480-614-0435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-08
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3946103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty