Provider Demographics
NPI:1366829129
Name:NASH, PAUL (LMFT)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:
Last Name:NASH
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 92
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:CT
Mailing Address - Zip Code:06247-0092
Mailing Address - Country:US
Mailing Address - Phone:860-942-3709
Mailing Address - Fax:860-465-9848
Practice Address - Street 1:33 STATION RD.
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:CT
Practice Address - Zip Code:06247-0092
Practice Address - Country:US
Practice Address - Phone:860-942-3709
Practice Address - Fax:860-465-9848
Is Sole Proprietor?:No
Enumeration Date:2015-04-30
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000407106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist