Provider Demographics
NPI:1700359304
Name:DHAR, NEIHA (MS, LMFT)
Entity Type:Individual
Prefix:
First Name:NEIHA
Middle Name:
Last Name:DHAR
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4307 HEPATICA HILL RD
Mailing Address - Street 2:
Mailing Address - City:MANLIUS
Mailing Address - State:NY
Mailing Address - Zip Code:13104-8714
Mailing Address - Country:US
Mailing Address - Phone:315-317-0635
Mailing Address - Fax:
Practice Address - Street 1:4307 HEPATICA HILL RD
Practice Address - Street 2:
Practice Address - City:MANLIUS
Practice Address - State:NY
Practice Address - Zip Code:13104-8714
Practice Address - Country:US
Practice Address - Phone:315-317-0635
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-07
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL166.001251106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist