| Khalil Psychological Services | |
|
124 W Superior St Unit 659 Fort Wayne IN 46802-1259 | |
| (260) 217-4384 | |
| Not Available |
| Full Name | Khalil Psychological Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 124 W Superior St Unit 659, Fort Wayne, Indiana |
| Authorized Official Name and Position | Amani Khalil (OWNER) |
| Authorized Official Contact | 2602174384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Khalil Psychological Services 124 W Superior St Unit 659 Fort Wayne IN 46802-1259 Ph: () - | Khalil Psychological Services 124 W Superior St Unit 659 Fort Wayne IN 46802-1259 Ph: (260) 217-4384 |
| NPI Number | 1639064082 |
|---|---|
| Provider Enumeration Date | 06/09/2025 |
| Last Update Date | 06/10/2025 |
| Certification Date | 06/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639064082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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