Organization
PSYCHOLOGICAL CARE AND CONSULTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALIL A SAKALLA PH.D. (OWNER PROVIDER)
(352) 281-8526
Entity
Organization
Contact information
Practice address
9214 NW 24TH LN, GAINESVILLE, FL 32606-9143
(352) 281-8526
(352) 331-8341
Mailing address
PO BOX 358372, GAINESVILLE, FL 32635-8372
(352) 281-8526
(352) 331-8341
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 7142
FL
Other
Enumeration date
12/19/2006
Last updated
08/22/2020
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