| Doctor Name: | DR. NINA APPADURAI |
| NPI Number: | 1104292820 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 071.009098 |
| Business Practice Address: | 2580 Foxfield Rd Ste 101-4 St Charles, IL - 601741403 |
| Business Phone Number: | 6305249230 |
| Business Fax Number: | |
| Mailing Address: | Po Box 2257, CHESTERTON |
| State: | IN |
| Postal Code: | 463040357 |
| Phone Number: | 2199268320 |
| Fax Number: | 2199263524 |
| NPI Enumeration Date: | 08/17/2015 |
| NPI Last Update Date: | 01/26/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 071.009098 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |