Provider Demographics
NPI:1700934247
Name:MAHANEY, NANCY BELL (PHD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:BELL
Last Name:MAHANEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1555 RIVER PARK DR
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95815-4612
Mailing Address - Country:US
Mailing Address - Phone:916-564-6626
Mailing Address - Fax:916-565-0126
Practice Address - Street 1:1555 RIVER PARK DR
Practice Address - Street 2:SUITE 205
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95815-4612
Practice Address - Country:US
Practice Address - Phone:916-564-6626
Practice Address - Fax:916-565-0126
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY10665103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist