Provider Demographics
NPI:1851899165
Name:AHLAWAT, ADITI (PHD)
Entity type:Individual
Prefix:DR
First Name:ADITI
Middle Name:
Last Name:AHLAWAT
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 1:51 PLEASANT ST STE 286
Mailing Address - Street 2:
Mailing Address - City:MALDEN
Mailing Address - State:MA
Mailing Address - Zip Code:02148-4904
Mailing Address - Country:US
Mailing Address - Phone:978-307-3662
Mailing Address - Fax:978-315-5188
Practice Address - Street 1:19 FRONT ST STE 205
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-3795
Practice Address - Country:US
Practice Address - Phone:978-307-3662
Practice Address - Fax:978-315-5188
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-01
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist