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General NPI Number Information
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NPI Number | 1104790450
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Entity Type | Organization
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Legal Business Name | YOUSSEF NAKHLA PSYD A PROFESSIONAL PSYCHOLOGICAL CORPORATION
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Dates
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Enumeration Date | 09/30/2025
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 705 E BIDWELL ST STE 2-288
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City | FOLSOM
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State | CA
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Zip | 95630-3315
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Country | US
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Telephone | 714-475-8289
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Fax |
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Provider Business Mailing Address
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Address Line | 705 E BIDWELL ST STE 2-288
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City | FOLSOM
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State | CA
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Zip | 95630-3315
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. YOUSSEF NAKHLA
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Credential | PSY.D.
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Telephone | 714-475-8289
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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