Provider Demographics
NPI:1073923280
Name:CUMMINGS-SWEN, NYEMADE (PSYD)
Entity Type:Individual
Prefix:
First Name:NYEMADE
Middle Name:
Last Name:CUMMINGS-SWEN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:436 MDG
Mailing Address - Street 2:300 TUSKEGEE BLVD
Mailing Address - City:DOVER AFB
Mailing Address - State:DE
Mailing Address - Zip Code:19902-5300
Mailing Address - Country:US
Mailing Address - Phone:484-686-9910
Mailing Address - Fax:
Practice Address - Street 1:436 MDG
Practice Address - Street 2:300 TUSKEGEE BLVD
Practice Address - City:DOVER AFB
Practice Address - State:DE
Practice Address - Zip Code:19902-5300
Practice Address - Country:US
Practice Address - Phone:484-686-9910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-28
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS017553103G00000X
DEB10000980103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist