Provider Demographics
NPI:1558513945
Name:PRASAD-GAUR, ARCHNA (PHD)
Entity Type:Individual
Prefix:
First Name:ARCHNA
Middle Name:
Last Name:PRASAD-GAUR
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 1:1829 E FRANKLIN ST
Mailing Address - Street 2:SUITE 100D
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-5861
Mailing Address - Country:US
Mailing Address - Phone:207-420-1386
Mailing Address - Fax:919-968-2998
Practice Address - Street 1:1829 E FRANKLIN ST
Practice Address - Street 2:SUITE 100D
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-5861
Practice Address - Country:US
Practice Address - Phone:207-420-1386
Practice Address - Fax:919-968-2998
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-16
Last Update Date:2013-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist