Provider Demographics
NPI:1760605109
Name:PALAV, ANJALI (PHD)
Entity type:Individual
Prefix:
First Name:ANJALI
Middle Name:
Last Name:PALAV
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 1:989 RESERVOIR AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02910-5137
Mailing Address - Country:US
Mailing Address - Phone:401-525-6987
Mailing Address - Fax:
Practice Address - Street 1:989 RESERVOIR AVE STE 4
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02910-5137
Practice Address - Country:US
Practice Address - Phone:401-525-6987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPS00887103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist