Provider Demographics
NPI:1841601119
Name:CINDY L. NASH, PH.D., PC
Entity type:Organization
Organization Name:CINDY L. NASH, PH.D., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:L
Authorized Official - Last Name:NASH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:402-560-0085
Mailing Address - Street 1:7120 S 29TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-5802
Mailing Address - Country:US
Mailing Address - Phone:402-937-4719
Mailing Address - Fax:402-261-5405
Practice Address - Street 1:7120 S 29TH ST STE 200
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-5802
Practice Address - Country:US
Practice Address - Phone:402-937-4719
Practice Address - Fax:402-261-5405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-08
Last Update Date:2014-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE664103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025898100Medicaid