Provider Demographics
NPI:1104897222
Name:AKIN, NINA PATRICIA (PHD)
Entity type:Individual
Prefix:DR
First Name:NINA
Middle Name:PATRICIA
Last Name:AKIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 711165
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92171-1165
Mailing Address - Country:US
Mailing Address - Phone:619-757-4408
Mailing Address - Fax:866-210-1787
Practice Address - Street 1:4081 STEPHENS ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-1242
Practice Address - Country:US
Practice Address - Phone:619-757-4498
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY19490103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical