Provider Demographics
NPI:1104066026
Name:NAIM, NORA (PSYD)
Entity type:Individual
Prefix:DR
First Name:NORA
Middle Name:
Last Name:NAIM
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:NORA
Other - Middle Name:
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:1820 S CATALINA AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-5511
Mailing Address - Country:US
Mailing Address - Phone:424-262-3512
Mailing Address - Fax:424-267-0150
Practice Address - Street 1:1820 S CATALINA AVE STE 105
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-5511
Practice Address - Country:US
Practice Address - Phone:424-262-3512
Practice Address - Fax:424-267-0150
Is Sole Proprietor?:No
Enumeration Date:2009-03-05
Last Update Date:2022-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY27442103TF0000X, 103TA0400X, 103TP0814X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
No103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis