Individual
DR. MALA NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
411 E PARK ST STE 106, CHAMPAIGN, IL 61820-3862
(217) 714-7042
Mailing address
411 E PARK ST, CHAMPAIGN, IL 61820-3841
(702) 591-5320
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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