Provider Demographics
NPI:1780124289
Name:RANA, MARIA (LLP)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:
Last Name:RANA
Suffix:
Gender:F
Credentials:LLP
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:RANA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LLP
Mailing Address - Street 1:79 W ALEXANDRINE ST # MI48201
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201-2015
Mailing Address - Country:US
Mailing Address - Phone:313-831-5535
Mailing Address - Fax:
Practice Address - Street 1:79 W ALEXANDRINE ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2015
Practice Address - Country:US
Practice Address - Phone:313-831-5535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-02
Last Update Date:2025-05-13
Deactivation Date:2017-11-27
Deactivation Code:
Reactivation Date:2018-03-27
Provider Licenses
StateLicense IDTaxonomies
MI6361007855103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical