Provider Demographics
NPI:1144017963
Name:SALIH, YOUSIF MOHAMMED
Entity type:Individual
Prefix:
First Name:YOUSIF
Middle Name:MOHAMMED
Last Name:SALIH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4389 HODGSON RD
Mailing Address - Street 2:
Mailing Address - City:SHOREVIEW
Mailing Address - State:MN
Mailing Address - Zip Code:55126-1921
Mailing Address - Country:US
Mailing Address - Phone:404-644-2372
Mailing Address - Fax:
Practice Address - Street 1:4389 HODGSON RD
Practice Address - Street 2:
Practice Address - City:SHOREVIEW
Practice Address - State:MN
Practice Address - Zip Code:55126-1921
Practice Address - Country:US
Practice Address - Phone:404-644-2372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst