Doctor Name: | RAJITHA LAKSHMI AVVA |
NPI Number: | 1730233297 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | |
Business Practice Address: | Palos Behavioral Health 13011 S 104th Ave Palos Park, IL - 60464 |
Business Phone Number: | 7084483300 |
Business Fax Number: | |
Mailing Address: | 12615 Suffield Drive, PALOS PARK |
State: | IL |
Postal Code: | 60464 |
Phone Number: | 7084480161 |
Fax Number: | 7083623766 |
NPI Enumeration Date: | 01/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0804X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Child & Adolescent Psychiatry |
Taxonomy Definition: | Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |