Provider Demographics
NPI:1851524490
Name:NUNEZ SANCHEZ, BEGONA (MS,LP)
Entity Type:Individual
Prefix:
First Name:BEGONA
Middle Name:
Last Name:NUNEZ SANCHEZ
Suffix:
Gender:F
Credentials:MS,LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1133 BROADWAY STE 1120
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-7900
Mailing Address - Country:US
Mailing Address - Phone:203-542-9792
Mailing Address - Fax:
Practice Address - Street 1:1133 BROADWAY STE 1120
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-7900
Practice Address - Country:US
Practice Address - Phone:203-542-9792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-31
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000919-1102L00000X, 103TP0814X
103TC1900X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103T00000XBehavioral Health & Social Service ProvidersPsychologist