Provider Demographics
NPI:1104790450
Name:YOUSSEF NAKHLA, PSY.D., A PROFESSIONAL PSYCHOLOGICAL CORPORATION
Entity type:Organization
Organization Name:YOUSSEF NAKHLA, PSY.D., A PROFESSIONAL PSYCHOLOGICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YOUSSEF
Authorized Official - Middle Name:
Authorized Official - Last Name:NAKHLA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:714-475-8289
Mailing Address - Street 1:705 E BIDWELL ST STE 2-288
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-3315
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:705 E BIDWELL ST STE 2-288
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-3315
Practice Address - Country:US
Practice Address - Phone:714-475-8289
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty