Healthcare Provider Details

I. General information

NPI: 1548265085
Provider Name (Legal Business Name): LINDA B NASH PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2005
Last Update Date: 09/28/2022
Certification Date: 09/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 ALBERTA DR STE 211
AMHERST NY
14226-1814
US

IV. Provider business mailing address

315 ALBERTA DR STE 211
AMHERST NY
14226-1814
US

V. Phone/Fax

Practice location:
  • Phone: 716-837-6705
  • Fax: 716-837-6759
Mailing address:
  • Phone: 716-837-6705
  • Fax: 716-837-6759

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number010324
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: