Provider Demographics
NPI:1912158452
Name:THIARA, RAJVINDER KAUR
Entity Type:Individual
Prefix:MS
First Name:RAJVINDER
Middle Name:KAUR
Last Name:THIARA
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 1:1130 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:RIO OSO
Mailing Address - State:CA
Mailing Address - Zip Code:95674-9656
Mailing Address - Country:US
Mailing Address - Phone:530-822-7478
Mailing Address - Fax:530-822-7484
Practice Address - Street 1:809 PLUMAS ST
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-4437
Practice Address - Country:US
Practice Address - Phone:530-822-7478
Practice Address - Fax:530-822-7484
Is Sole Proprietor?:No
Enumeration Date:2008-10-02
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health