Provider Demographics
NPI:1043644032
Name:MOMEN, NAUSHEEN (PHD)
Entity Type:Individual
Prefix:
First Name:NAUSHEEN
Middle Name:
Last Name:MOMEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NMRTC CORPUS CHRISTI
Mailing Address - Street 2:10651 E. STREET, BLDG 100
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78419-5130
Mailing Address - Country:US
Mailing Address - Phone:361-961-3620
Mailing Address - Fax:
Practice Address - Street 1:NMRTC CORPUS CHRISTI
Practice Address - Street 2:10651 E. STREET, BLDG 100
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78419-5130
Practice Address - Country:US
Practice Address - Phone:361-961-3620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-26
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist