Provider Demographics
NPI:1548265085
Name:NASH, LINDA B (PHD)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:B
Last Name:NASH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:315 ALBERTA DR STE 211
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-1814
Mailing Address - Country:US
Mailing Address - Phone:716-837-6705
Mailing Address - Fax:716-837-6759
Practice Address - Street 1:315 ALBERTA DR STE 211
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-1814
Practice Address - Country:US
Practice Address - Phone:716-837-6705
Practice Address - Fax:716-837-6759
Is Sole Proprietor?:No
Enumeration Date:2005-06-20
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010324103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY10769271OtherCAQH
NY6105303OtherINDEPENDENT HEALTH
NY00020912201OtherUNIVERA HEALTHCARE
NY000510953002OtherHEALTH INTEGRATED
NY000510953002OtherBC/BS OF WNY
NYR53561Medicare UPIN
NY10769271OtherCAQH