Healthcare Provider Details

I. General information

NPI: 1598569857
Provider Name (Legal Business Name): NAISHA PANDYA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2025
Last Update Date: 04/03/2025
Certification Date: 04/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 CHESTER AVE
COATESVILLE PA
19320-3669
US

IV. Provider business mailing address

749 PEONY LN
SPRING CITY PA
19475-1415
US

V. Phone/Fax

Practice location:
  • Phone: 484-454-8700
  • Fax:
Mailing address:
  • Phone: 267-742-2717
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMF001705
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: