Provider Demographics
NPI:1821502188
Name:SELLA NIEVES, ZULMA MARIA (PHD)
Entity Type:Individual
Prefix:DR
First Name:ZULMA
Middle Name:MARIA
Last Name:SELLA NIEVES
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 1:4004 BEN FRANKLIN BLVD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-2138
Mailing Address - Country:US
Mailing Address - Phone:919-479-1600
Mailing Address - Fax:919-479-5551
Practice Address - Street 1:4004 BEN FRANKLIN BLVD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-2138
Practice Address - Country:US
Practice Address - Phone:919-479-1600
Practice Address - Fax:919-479-5551
Is Sole Proprietor?:No
Enumeration Date:2017-11-24
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022491103T00000X
NC5733103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist