Provider Demographics
NPI:1003214636
Name:BHATT, RUSHINA HARISHKUMAR (PHD)
Entity type:Individual
Prefix:DR
First Name:RUSHINA
Middle Name:HARISHKUMAR
Last Name:BHATT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1306 W EULESS BLVD
Mailing Address - Street 2:SUITE 300A
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76040-4985
Mailing Address - Country:US
Mailing Address - Phone:817-857-1076
Mailing Address - Fax:
Practice Address - Street 1:3616 WHITE BIRCH WAY
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76040-7170
Practice Address - Country:US
Practice Address - Phone:817-919-2183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-14
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist