MEDICARE: DR. DAVID L. NASH PHD

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	103TC0700X	Clinical Psychologist	37141	TX
2	103TC0700X	Clinical Psychologist	PSY 741	HI

General Provider Information

NPI Number	:	1871691238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID L. NASH PHD

Provider Business Mailing Address
First Line	:	15819 STENBURY CT
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77429-6970
Country	:	US
Telephone Number	:	808-371-1158
Fax Number	:

Provider Business Practice Location Address
First Line	:	11803 GRANT RD STE 207
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77429-4022
Country	:	US
Telephone Number	:	346-306-6886
Fax Number	:

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	06/22/2020

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