Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PSY004445 | GA |
Y | 103T00000X | Psychologist | PSY004445 | GA |
N | 102L00000X | Psychologist | PY10718 | FL |
N | 103T00000X | Psychologist | PY10718 | FL |
N | 103TB0200X | Cognitive & Behavioral Psychologist | PSY004445 | GA |
N | 103TB0200X | Cognitive & Behavioral Psychologist | PY10718 | FL |
N | 103G00000X | Clinical Psychologist | PY10718 | FL |
N | 103TC0700X | Clinical Psychologist | PY10718 | FL |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY004445 | GA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PY10718 | FL |
N | 103TH0004X | Health Psychologist | PSY004445 | GA |
N | 103TH0004X | Health Psychologist | PY10718 | FL |
N | 103TP0814X | Psychoanalysis | PSY004445 | GA |
N | 103TP0814X | Psychoanalysis | PY10718 | FL |
N | 103TP2701X | Group Psychotherapist | PSY004445 | GA |
N | 103TP2701X | Group Psychotherapist | PY10718 | FL |
N | 103TR0400X | Rehabilitation Psychologist | PSY004445 | GA |
NPI | 1306442108 |
---|---|
Provider Name | Dr. Nina Maria Cabral |
First Address | Johns Creek, GA 30022-8164 |
Second Address | Johns Creek, GA 30022-8164 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2020 |
Last Update Date | 07/12/2020 |