Healthcare Provider Details

I. General information

NPI: 1003291105
Provider Name (Legal Business Name): NIA BILLINGS PHD, LP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2015
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 W 14TH ST FL 6
WILMINGTON DE
19801-1013
US

IV. Provider business mailing address

700 COOPER AVE STE 1100
SAGINAW MI
48602-5383
US

V. Phone/Fax

Practice location:
  • Phone: 302-320-2100
  • Fax: 302-320-1373
Mailing address:
  • Phone: 989-583-2729
  • Fax: 989-583-2843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6301018776
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberB1-0011563
License Number StateDE
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS019694
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: