Healthcare Provider Details

I. General information

NPI: 1295192060
Provider Name (Legal Business Name): NITIKA SINGH PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2016
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1490 S PRICE RD STE 210A
CHANDLER AZ
85286-6609
US

IV. Provider business mailing address

123 W CHANDLER HEIGHTS RD UNIT 13614
CHANDLER AZ
85248-1106
US

V. Phone/Fax

Practice location:
  • Phone: 602-708-4083
  • Fax:
Mailing address:
  • Phone: 602-708-4083
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number3961
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: