Provider Demographics
NPI:1205164167
Name:SAXENA, PARUL (MA)
Entity type:Individual
Prefix:MS
First Name:PARUL
Middle Name:
Last Name:SAXENA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8400 W VIRGINIA AVENUE
Mailing Address - Street 2:APT 1077
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85037-8359
Mailing Address - Country:US
Mailing Address - Phone:843-441-4084
Mailing Address - Fax:
Practice Address - Street 1:8525 W OSBORN ROAD
Practice Address - Street 2:DESERT HORIZON SCHOOL
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037
Practice Address - Country:US
Practice Address - Phone:843-441-4084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool