Provider Demographics
NPI:1922539543
Name:BHUIYAN, NADIA (PHD)
Entity Type:Individual
Prefix:DR
First Name:NADIA
Middle Name:
Last Name:BHUIYAN
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 1:101 CARY HALL
Mailing Address - Street 2:AUBURN UNIVERSITY
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36849
Mailing Address - Country:US
Mailing Address - Phone:334-844-4889
Mailing Address - Fax:334-844-6671
Practice Address - Street 1:101 CARY HALL
Practice Address - Street 2:AUBURN UNIVERSITY
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36849
Practice Address - Country:US
Practice Address - Phone:334-844-4889
Practice Address - Fax:334-844-6671
Is Sole Proprietor?:No
Enumeration Date:2017-03-24
Last Update Date:2017-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2038103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical