Provider Demographics
NPI:1548348857
Name:SAPP, NENA T (PSYD)
Entity type:Individual
Prefix:
First Name:NENA
Middle Name:T
Last Name:SAPP
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:P.O.BOX 7500
Mailing Address - Street 2:TRAVERS COMPLEX/TLU TRENTON PSYCHIATRIC HOSPITAL
Mailing Address - City:WEST TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08628
Mailing Address - Country:US
Mailing Address - Phone:609-633-1848
Mailing Address - Fax:609-633-1876
Practice Address - Street 1:SULLIVAN WAY AND STUYVESANT AVENUE
Practice Address - Street 2:
Practice Address - City:WEST TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08628
Practice Address - Country:US
Practice Address - Phone:609-633-1848
Practice Address - Fax:609-633-1876
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSI00237800103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist