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Shonda Nixon

Clinical Psychologist

850 N 11th St
Philadelphia , Pennsylvania 19123-1957

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Shonda Nixon

Clinical Psychologist

850 N 11th St
Philadelphia , Pennsylvania 19123-1957

(215) 298-0417

Write a Review Save Call

Shonda Nixon

Clinical Psychologist

850 N 11th St
Philadelphia , Pennsylvania 19123-1957

(215) 298-0417 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Clinical Psychologist

Languages spoken

  • English

Location

850 N 11th St Philadelphia , Pennsylvania 19123-1957

First Address

  • Shonda Nixon
  • 4700 Wissahickon Ave Suite 118 Box 110
  • Philadelphia, PA
  • Zip : 19144-4248
  • Phone : (215) 298-0417

Second Address

  • Shonda Nixon
  • 850 N 11th St
  • Philadelphia, PA
  • Zip : 19123-1957
  • Phone : (215) 769-1590

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FAQs


Where did Shonda Nixon attend graduate school?

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Where did Shonda Nixon do her residency?

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Where did Shonda Nixon do her fellowship?

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Is Shonda Nixon board certified?

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What type of doctor is Shonda Nixon

Clinical Psychologist

In what state does Shonda Nixon practice in?

Pennsylvania

Where is Shonda Nixon ’s practice located?

850 N 11th St , Philadelphia, Pennsylvania, 19123-1957

What is Shonda Nixon ’s gender?

Female

Is Shonda Nixon a sole practitioner?

No

Is Shonda Nixon accepting new patients?

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What languages does Shonda Nixon speak?

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Does Shonda Nixon accept insurance?

Yes, Shonda Nixon accepts insurance

Does Shonda Nixon offers telemedicine?

Shonda Nixon has not indicated if she offers telemedicine

What is Shonda Nixon ’s professional license number?

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What is Shonda Nixon ’s NPI number?

1003896614

Does Shonda Nixon have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 103G00000X Clinical Psychologist PS015472 PA
Y 103TC0700X Clinical Psychologist PS015472 PA

National Provider Identifier

NPI 1003896614
Provider Name Shonda Nixon
First Address Philadelphia, PA 19144-4248
Second Address Philadelphia, PA 19123-1957
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 19/01/2006
Last Update Date 02/04/2008

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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