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NPI Code Detail

MEDICARE: DR. NOZANIN YUSUFOVNA YUSUFBEKOVA PSYD

MEDICARE: DR. NOZANIN YUSUFOVNA YUSUFBEKOVA PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2103T00000XPsychologistPSY-1840HI
3103TC0700XClinical PsychologistPSY.0005251CO
4103TC0700XClinical PsychologistPSY-1840HI

General Provider Information

NPI Number : 1124268248
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NOZANIN YUSUFOVNA YUSUFBEKOVA PSYD
Provider Business Mailing Address
First Line : 99-128 AIEA HEIGHTS DR STE 704
Second Line :
City : AIEA
State : HI
Zip : 96701-3940
Country : US
Telephone Number : 808-425-2625
Fax Number :
Provider Business Practice Location Address
First Line : 99-128 AIEA HEIGHTS DR STE 704
Second Line :
City : AIEA
State : HI
Zip : 96701-3940
Country : US
Telephone Number : 808-425-2625
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2009
Last Update Date : 04/02/2020

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