| Doctor Name: | MS. NUPUR C JAIN |
| NPI Number: | 1477697449 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. |
| License Number: | |
| Business Practice Address: | 7930 Nittany Valley Dr Mill Hall, PA - 177518805 |
| Business Phone Number: | 5707264082 |
| Business Fax Number: | |
| Mailing Address: | 108 Oak Pointe Cir, STATE COLLEGE |
| State: | PA |
| Postal Code: | 168018617 |
| Phone Number: | 2173130142 |
| Fax Number: | |
| NPI Enumeration Date: | 02/16/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |