Provider Demographics
NPI:1992495527
Name:NAYDUCH, NATASHA LAUREN (MED)
Entity type:Individual
Prefix:MRS
First Name:NATASHA
Middle Name:LAUREN
Last Name:NAYDUCH
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 LISBURN RD
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17015-9230
Mailing Address - Country:US
Mailing Address - Phone:717-418-2743
Mailing Address - Fax:
Practice Address - Street 1:810 LISBURN RD
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17015-9230
Practice Address - Country:US
Practice Address - Phone:717-418-2743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health