Healthcare Provider Details

I. General information

NPI: 1306278502
Provider Name (Legal Business Name): SAFA RASHID PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2013
Last Update Date: 09/11/2024
Certification Date: 09/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

OSAN AB 51 MEDICAL GROUP, UNIT 2060
APO AP
96278
US

IV. Provider business mailing address

51 MEDICAL GROUP UNIT 2060
APO AP
96278
US

V. Phone/Fax

Practice location:
  • Phone: 315-784-7892
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number0810006228
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: