Provider Demographics
NPI:1548742760
Name:DURSUN, NULIYAR (MA IN PSYCHOLOGY)
Entity Type:Individual
Prefix:
First Name:NULIYAR
Middle Name:
Last Name:DURSUN
Suffix:
Gender:F
Credentials:MA IN PSYCHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:167 DORWIN DR
Mailing Address - Street 2:
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089-3017
Mailing Address - Country:US
Mailing Address - Phone:716-435-7996
Mailing Address - Fax:
Practice Address - Street 1:167 DORWIN DR
Practice Address - Street 2:
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-3017
Practice Address - Country:US
Practice Address - Phone:716-435-7996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-04
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor