| Doctor Name: | MRS. PREM BHARATI ANKALGI DEVKOTA |
| NPI Number: | 1932596707 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | LC5883 |
| Business Practice Address: | 2345 York Rd Suite 102 Lutherville Timonium, MD - 210932265 |
| Business Phone Number: | 4437422575 |
| Business Fax Number: | |
| Mailing Address: | 2345 York Rd, Suite 102 LUTHERVILLE TIMONIUM |
| State: | MD |
| Postal Code: | 210932265 |
| Phone Number: | 4437422575 |
| Fax Number: | |
| NPI Enumeration Date: | 04/20/2015 |
| NPI Last Update Date: | 11/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LC5883 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |