Provider Demographics
NPI:1588438014
Name:NASIR, ABDULLAH (PSYD)
Entity type:Individual
Prefix:DR
First Name:ABDULLAH
Middle Name:
Last Name:NASIR
Suffix:
Gender:
Credentials:PSYD
Other - Prefix:DR
Other - First Name:AFSANAH
Other - Middle Name:
Other - Last Name:YASMINE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:10544 HORTON DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80925-1475
Mailing Address - Country:US
Mailing Address - Phone:720-445-6696
Mailing Address - Fax:
Practice Address - Street 1:10544 HORTON DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80925-1475
Practice Address - Country:US
Practice Address - Phone:720-445-6696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-15
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSYCH.0006691103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical