Provider Demographics
NPI:1124268248
Name:YUSUFBEKOVA, NOZANIN YUSUFOVNA (PSYD)
Entity type:Individual
Prefix:DR
First Name:NOZANIN
Middle Name:YUSUFOVNA
Last Name:YUSUFBEKOVA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99-128 AIEA HEIGHTS DR STE 704
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-3940
Mailing Address - Country:US
Mailing Address - Phone:808-425-2625
Mailing Address - Fax:
Practice Address - Street 1:99-128 AIEA HEIGHTS DR STE 704
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-3940
Practice Address - Country:US
Practice Address - Phone:808-425-2625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-02
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
HIPSY-1840103T00000X, 103TC0700X
COPSY.0005251103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103T00000XBehavioral Health & Social Service ProvidersPsychologist