Provider Demographics
NPI:1528227873
Name:SARAF, MICHAL NINA (PSYD)
Entity type:Individual
Prefix:DR
First Name:MICHAL
Middle Name:NINA
Last Name:SARAF
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 EWING ST STE C11
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-2759
Mailing Address - Country:US
Mailing Address - Phone:609-577-7028
Mailing Address - Fax:
Practice Address - Street 1:601 EWING ST STE C11
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-2759
Practice Address - Country:US
Practice Address - Phone:609-577-7028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-03
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2432103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist