Provider Demographics
NPI:1013352541
Name:ERNST, NATHAN
Entity type:Individual
Prefix:
First Name:NATHAN
Middle Name:
Last Name:ERNST
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 1:2005 CABOT BLVD W
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1885
Mailing Address - Country:US
Mailing Address - Phone:267-587-2300
Mailing Address - Fax:267-587-2305
Practice Address - Street 1:502 CABELA DR
Practice Address - Street 2:
Practice Address - City:TRIADELPHIA
Practice Address - State:WV
Practice Address - Zip Code:26059-1044
Practice Address - Country:US
Practice Address - Phone:304-243-8630
Practice Address - Fax:304-243-3124
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-10
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist