Individual
MUKUL KHANDELWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
5350 TALLMAN AVE NW STE 301, SEATTLE, WA 98107-5902
(206) 320-3335
(206) 320-8027
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY61602836
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2311726
—
WA
Enumeration date
10/01/2024
Last updated
04/04/2025
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