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General NPI Number Information
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NPI Number | 1942785571
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Entity Type | Individual
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Provider Name | NASYA BREACH PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 09/28/2018
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 166 BUNN DR STE 101
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City | PRINCETON
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State | NJ
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Zip | 08540-2800
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Country | US
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Telephone | 609-557-3418
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Fax |
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Provider Business Mailing Address
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Address Line | 166 BUNN DR STE 101
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City | PRINCETON
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State | NJ
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Zip | 08540-2800
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Country | US
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Telephone | 646-709-2715
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TH0004X
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Taxonomy Name | Health Psychologist
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License Number | 35SI00599000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 35SI00599000
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License Number State | NJ
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