Provider Demographics
NPI:1336337583
Name:RAMPERSAD, DARA N (PHD, LPC, NCC)
Entity Type:Individual
Prefix:DR
First Name:DARA
Middle Name:N
Last Name:RAMPERSAD
Suffix:
Gender:M
Credentials:PHD, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3003 N CENTRAL AVE
Mailing Address - Street 2:STE 200
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-2902
Mailing Address - Country:US
Mailing Address - Phone:602-302-7896
Mailing Address - Fax:602-302-7925
Practice Address - Street 1:1802 E THOMAS RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-8134
Practice Address - Country:US
Practice Address - Phone:602-302-7807
Practice Address - Fax:602-258-6140
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-11
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC-4744101YP2500X
AZLPC-12792101YP2500X
HIPSY-1275103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic