Provider Demographics
NPI:1821505579
Name:ABDO, NADIA (PHD)
Entity Type:Individual
Prefix:
First Name:NADIA
Middle Name:
Last Name:ABDO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:NADA
Other - Middle Name:
Other - Last Name:ABDO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:411 E LINCOLN ST APT B
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-3707
Mailing Address - Country:US
Mailing Address - Phone:908-420-8492
Mailing Address - Fax:
Practice Address - Street 1:411 E LINCOLN ST APT B
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-3707
Practice Address - Country:US
Practice Address - Phone:908-420-8492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-03
Last Update Date:2018-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling