MEDICARE: NAUSHEEN YUNAS 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
1	103TC0700X	Clinical Psychologist	22	VA
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1598167512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAUSHEEN YUNAS PSYD

Provider Business Mailing Address
First Line	:	13163 QUADE LN
Second Line	:
City	:	WOODBRIDGE
State	:	VA
Zip	:	22193-4554
Country	:	US
Telephone Number	:	703-608-4971
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 E MAIN ST
Second Line	:	16TH FLOOR
City	:	RICHMOND
State	:	VA
Zip	:	23219-3531
Country	:	US
Telephone Number	:	800-370-3651
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2014
Last Update Date	:	10/28/2015

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