Provider Demographics
NPI:1790469526
Name:NNADI, OBINNA
Entity Type:Individual
Prefix:
First Name:OBINNA
Middle Name:
Last Name:NNADI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 HARRISON DR
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08225-1349
Mailing Address - Country:US
Mailing Address - Phone:856-938-6489
Mailing Address - Fax:
Practice Address - Street 1:525 HARRISON DR
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08225-1349
Practice Address - Country:US
Practice Address - Phone:856-938-6489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging