Provider Demographics
NPI:1720490717
Name:DELSHAD, NADIA (PSYD, MSC)
Entity type:Individual
Prefix:DR
First Name:NADIA
Middle Name:
Last Name:DELSHAD
Suffix:
Gender:F
Credentials:PSYD, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 PALOMINO LN STE 703
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-6448
Mailing Address - Country:US
Mailing Address - Phone:603-552-5664
Mailing Address - Fax:603-552-5664
Practice Address - Street 1:82 PALOMINO LN STE 703
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6448
Practice Address - Country:US
Practice Address - Phone:603-552-5664
Practice Address - Fax:603-552-5664
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-23
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC3689101YP2500X
NH2223101YP2500X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional