Provider Demographics
NPI:1174914501
Name:RAMCHARAN, REEVA (PSYD)
Entity type:Individual
Prefix:
First Name:REEVA
Middle Name:
Last Name:RAMCHARAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5738 CANTON CV STE 110
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-5037
Mailing Address - Country:US
Mailing Address - Phone:407-233-5667
Mailing Address - Fax:407-986-4533
Practice Address - Street 1:5738 CANTON CV STE 110
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-5037
Practice Address - Country:US
Practice Address - Phone:407-233-5667
Practice Address - Fax:407-986-4533
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-06
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY9149103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical