Provider Demographics
NPI:1902186505
Name:IRANI, DELPHINA CYRUS (MA, MS)
Entity Type:Individual
Prefix:MS
First Name:DELPHINA
Middle Name:CYRUS
Last Name:IRANI
Suffix:
Gender:F
Credentials:MA, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7701 W SAINT JOHN RD
Mailing Address - Street 2:#2077
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-8608
Mailing Address - Country:US
Mailing Address - Phone:412-996-8126
Mailing Address - Fax:
Practice Address - Street 1:7701 W SAINT JOHN RD
Practice Address - Street 2:#2077
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-8608
Practice Address - Country:US
Practice Address - Phone:412-996-8126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-26
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4402455103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool