NPI 1083126221 · live from the CMS NPI Registry
Kevana M Nixon, LMFT
Marriage & Family Therapist in Newark, DE. National Provider Identifier 1083126221, active.
NPI record
| NPI | 1083126221 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 261 Chapman Rd, Newark, DE 19702 |
| Practice phone | 302-455-9333 |
| Mailing address | 4524 Osage Ave Apt 3r, Philadelphia, PA 19143 |
| Enumerated | October 27, 2017 |
| Last updated | October 27, 2017 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | MF000957 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.