MEDICARE: DR. ZELDA NASH PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PSY 16663	CA

General Provider Information

NPI Number	:	1376703165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZELDA NASH PH.D.

Provider Business Mailing Address
First Line	:	4540 LENNOX AVE
Second Line	:
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91423-2613
Country	:	US
Telephone Number	:	818-618-5436
Fax Number	:

Provider Business Practice Location Address
First Line	:	4540 LENNOX AVE
Second Line	:
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91423-2613
Country	:	US
Telephone Number	:	818-618-5436
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2008
Last Update Date	:	06/15/2008

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