Provider Demographics
NPI:1770093031
Name:SINGLA, GURSHARAN KAUR
Entity type:Individual
Prefix:MRS
First Name:GURSHARAN
Middle Name:KAUR
Last Name:SINGLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 TEA PL
Mailing Address - Street 2:
Mailing Address - City:TAPPAN
Mailing Address - State:NY
Mailing Address - Zip Code:10983-1824
Mailing Address - Country:US
Mailing Address - Phone:845-793-0196
Mailing Address - Fax:
Practice Address - Street 1:26 TEA PL
Practice Address - Street 2:
Practice Address - City:TAPPAN
Practice Address - State:NY
Practice Address - Zip Code:10983-1824
Practice Address - Country:US
Practice Address - Phone:845-793-0196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-01
Last Update Date:2017-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst