Provider Demographics
NPI:1558437145
Name:NASH, CINDY L (PHD)
Entity Type:Individual
Prefix:DR
First Name:CINDY
Middle Name:L
Last Name:NASH
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 1:2971 PARK PLACE DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-2818
Mailing Address - Country:US
Mailing Address - Phone:402-560-0085
Mailing Address - Fax:402-261-5405
Practice Address - Street 1:770 N COTNER BLVD STE 328
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68505-2344
Practice Address - Country:US
Practice Address - Phone:402-560-0085
Practice Address - Fax:402-261-5405
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2023-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE664103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026352201Medicaid