Provider Demographics
NPI:1821881574
Name:NASHED, KIRA (PPS; MICHIGAN CRED)
Entity type:Individual
Prefix:MRS
First Name:KIRA
Middle Name:
Last Name:NASHED
Suffix:
Gender:F
Credentials:PPS; MICHIGAN CRED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 E OCEAN BLVD UNIT 232
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90802-5664
Mailing Address - Country:US
Mailing Address - Phone:562-533-5257
Mailing Address - Fax:
Practice Address - Street 1:1140 E OCEAN BLVD UNIT 232
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802-5664
Practice Address - Country:US
Practice Address - Phone:562-533-5257
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4235103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool