Provider Demographics
NPI:1467856740
Name:NATHAN-TODD CONSULTING
Entity Type:Organization
Organization Name:NATHAN-TODD CONSULTING
Other - Org Name:NATHAN-TODD ASSOCIATES
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:THORNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-466-9914
Mailing Address - Street 1:9201 EDGEWORTH DR
Mailing Address - Street 2:#6912
Mailing Address - City:CAPITOL HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20791-7501
Mailing Address - Country:US
Mailing Address - Phone:301-466-9914
Mailing Address - Fax:202-506-3553
Practice Address - Street 1:3231 SUPERIOR COURT LANE,# A5
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20715
Practice Address - Country:US
Practice Address - Phone:301-466-9914
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-15
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC50080023251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health