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NPI Code Detail

MEDICARE: SYEDA NAFISA BANOO

MEDICARE:   SYEDA NAFISA BANOO
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
1103TC0700XClinical PsychologistPSB94023467CA
2225C00000XRehabilitation CounselorPSB94023467CA
3171M00000XCase Manager/Care Coordinator

Other Identifiers

General Provider Information

NPI Number : 1679760235
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYEDA NAFISA BANOO
Provider Business Mailing Address
First Line : 6022 VARIEL AVE
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-3719
Country : US
Telephone Number : 818-996-1051
Fax Number :
Provider Business Practice Location Address
First Line : 6022 VARIEL AVE
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-3719
Country : US
Telephone Number : 818-996-1051
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2007
Last Update Date : 03/11/2024

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Directions to “ SYEDA NAFISA BANOO ” Practice Location

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