Provider Demographics
NPI:1578336566
Name:KALIGITHI, RANELA
Entity Type:Individual
Prefix:MISS
First Name:RANELA
Middle Name:
Last Name:KALIGITHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20840 SPRING MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507-0195
Mailing Address - Country:US
Mailing Address - Phone:559-301-7458
Mailing Address - Fax:
Practice Address - Street 1:20840 SPRING MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-0195
Practice Address - Country:US
Practice Address - Phone:559-301-7458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-01
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA142450106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist