Provider Demographics
NPI:1003682642
Name:YUSUF, SUMAYA
Entity Type:Individual
Prefix:
First Name:SUMAYA
Middle Name:
Last Name:YUSUF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 5TH ST NE STE 201
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55418-1117
Mailing Address - Country:US
Mailing Address - Phone:651-855-8209
Mailing Address - Fax:
Practice Address - Street 1:3300 5TH ST NE STE 201
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55418-1117
Practice Address - Country:US
Practice Address - Phone:651-855-8209
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health