Provider Demographics
NPI:1053744714
Name:NAH, RAYMOND S
Entity type:Individual
Prefix:
First Name:RAYMOND
Middle Name:S
Last Name:NAH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 WINTHROP RD
Mailing Address - Street 2:
Mailing Address - City:DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19023-1116
Mailing Address - Country:US
Mailing Address - Phone:484-540-7172
Mailing Address - Fax:
Practice Address - Street 1:14 WINTHROP RD
Practice Address - Street 2:
Practice Address - City:DARBY
Practice Address - State:PA
Practice Address - Zip Code:19023-1116
Practice Address - Country:US
Practice Address - Phone:484-540-7172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-16
Last Update Date:2013-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst