Provider Demographics
NPI:1386009868
Name:HEARD, NAHARIA (PHD)
Entity type:Individual
Prefix:DR
First Name:NAHARIA
Middle Name:
Last Name:HEARD
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 1:5309 COMMONWEALTH CENTRE PKWY STE 401
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-2633
Mailing Address - Country:US
Mailing Address - Phone:804-886-9115
Mailing Address - Fax:
Practice Address - Street 1:5309 COMMONWEALTH CENTRE PKWY STE 401
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-2633
Practice Address - Country:US
Practice Address - Phone:804-886-9115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-28
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701006735101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional