Healthcare Provider Details

I. General information

NPI: 1194673277
Provider Name (Legal Business Name): NINA FEDERMAN M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2026
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 E EVANS ST STE A
WEST CHESTER PA
19380-2600
US

IV. Provider business mailing address

233 YOST AVE
SPRING CITY PA
19475-1737
US

V. Phone/Fax

Practice location:
  • Phone: 484-887-8385
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: