Provider Demographics
NPI:1831467018
Name:MEHTA, JYOTSNA (MS ED TVI)
Entity Type:Individual
Prefix:MRS
First Name:JYOTSNA
Middle Name:
Last Name:MEHTA
Suffix:
Gender:F
Credentials:MS ED TVI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 W 281 CREEK CT,
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540
Mailing Address - Country:US
Mailing Address - Phone:630-723-4572
Mailing Address - Fax:
Practice Address - Street 1:23 W 281 CREEK CT,
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540
Practice Address - Country:US
Practice Address - Phone:630-723-4572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-02
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist