Provider Demographics
NPI:1245528579
Name:PANDIT, PRIYA A (PSYD, MED)
Entity type:Individual
Prefix:DR
First Name:PRIYA
Middle Name:A
Last Name:PANDIT
Suffix:
Gender:F
Credentials:PSYD, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 PEPPER RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-3219
Mailing Address - Country:US
Mailing Address - Phone:732-500-6830
Mailing Address - Fax:
Practice Address - Street 1:7 PEPPER RIDGE RD
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-3219
Practice Address - Country:US
Practice Address - Phone:732-500-6830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-20
Last Update Date:2017-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health