Individual
DR. SANGEETHA NAYAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
111 DUNNELL RD, 2ND FLOOR, MAPLEWOOD, NJ 07040-2622
(973) 486-0111
Mailing address
93 RIDGE DR, LIVINGSTON, NJ 07039-3744
(973) 994-4519
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
SI00407700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
097476
MEDICARE PROVIDER NUMBER
NJ
Enumeration date
01/28/2007
Last updated
05/13/2025
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