Provider Demographics
NPI:1831575695
Name:NAYAR, KAPIL (MA, LPC, LAC, CHT)
Entity type:Individual
Prefix:MR
First Name:KAPIL
Middle Name:
Last Name:NAYAR
Suffix:
Gender:M
Credentials:MA, LPC, LAC, CHT
Other - Prefix:MR
Other - First Name:KAP
Other - Middle Name:
Other - Last Name:NAYAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, LPC, LAC, CHT
Mailing Address - Street 1:90 W AFTON AVE
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-1421
Mailing Address - Country:US
Mailing Address - Phone:877-636-9322
Mailing Address - Fax:267-799-1682
Practice Address - Street 1:90 W AFTON AVE
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-1421
Practice Address - Country:US
Practice Address - Phone:877-636-9322
Practice Address - Fax:267-799-1682
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-04
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC008489101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional