Individual
DR. NISHA NAYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3535 MARKET ST, CTSA, STE 600 N, PHILADELPHIA, PA 19104-3309
(215) 746-3327
(215) 746-3311
Mailing address
3900 WOODLAND AVE., BHL/MIRECC (MS 116), PHILADELPHIA, PA 19104-3309
(215) 823-5800
(215) 823-4123
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
PS016775
PA
Other
Enumeration date
02/19/2009
Last updated
03/20/2018
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