Provider Demographics
NPI:1053809624
Name:KAUR, HARMANDEEP
Entity type:Individual
Prefix:
First Name:HARMANDEEP
Middle Name:
Last Name:KAUR
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 1:148 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-2928
Mailing Address - Country:US
Mailing Address - Phone:714-829-6224
Mailing Address - Fax:
Practice Address - Street 1:2230 W CHAPMAN AVE STE 209
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-2316
Practice Address - Country:US
Practice Address - Phone:714-340-7755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-28
Last Update Date:2023-05-25
Deactivation Date:2023-04-14
Deactivation Code:
Reactivation Date:2023-05-02
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst