Provider Demographics
NPI:1205894664
Name:CUMMINGS, NINA BETH (PHD)
Entity type:Individual
Prefix:DR
First Name:NINA
Middle Name:BETH
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:194 ROLLING RD
Mailing Address - Street 2:
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-2667
Mailing Address - Country:US
Mailing Address - Phone:610-667-9530
Mailing Address - Fax:610-667-4387
Practice Address - Street 1:194 ROLLING RD
Practice Address - Street 2:
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-2667
Practice Address - Country:US
Practice Address - Phone:610-667-9530
Practice Address - Fax:610-667-4387
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS003884L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA473944Medicare ID - Type Unspecified