Provider Demographics
NPI:1902550650
Name:NAIR, SHRUTHI (MPHIL ED)
Entity Type:Individual
Prefix:
First Name:SHRUTHI
Middle Name:
Last Name:NAIR
Suffix:
Gender:F
Credentials:MPHIL ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 HICKORY HILL RD
Mailing Address - Street 2:
Mailing Address - City:EASTCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10709-1414
Mailing Address - Country:US
Mailing Address - Phone:914-481-7193
Mailing Address - Fax:
Practice Address - Street 1:15 HICKORY HILL RD
Practice Address - Street 2:
Practice Address - City:EASTCHESTER
Practice Address - State:NY
Practice Address - Zip Code:10709-1414
Practice Address - Country:US
Practice Address - Phone:914-481-7193
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-10
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health