Healthcare Provider Details

I. General information

NPI: 1710897442
Provider Name (Legal Business Name): NAVA NOURANI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8115 E INDIAN BEND RD STE 119
SCOTTSDALE AZ
85250-4819
US

IV. Provider business mailing address

8115 E INDIAN BEND RD STE 119
SCOTTSDALE AZ
85250-4819
US

V. Phone/Fax

Practice location:
  • Phone: 480-790-9245
  • Fax:
Mailing address:
  • Phone: 480-790-9245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY-005811
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: