Provider Demographics
NPI:1932323771
Name:CARMEDY, NISHMET D
Entity Type:Individual
Prefix:MRS
First Name:NISHMET
Middle Name:D
Last Name:CARMEDY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2335 ROLL DR
Mailing Address - Street 2:SUITE 4-82
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92154-7298
Mailing Address - Country:US
Mailing Address - Phone:619-820-1470
Mailing Address - Fax:
Practice Address - Street 1:2335 ROLL DR
Practice Address - Street 2:SUITE 4-82
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92154-7298
Practice Address - Country:US
Practice Address - Phone:619-820-1470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health