Organization
TRAVELING PSYCHOLOGIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALIL SAKALLA PH.D (PSYCHOLOGIST)
(352) 281-8526
Entity
Organization
Contact information
Practice address
9214 NW 24TH LN, GAINESVILLE, FL 32606-9143
(352) 281-8526
Mailing address
9214 NW 24TH LN, GAINESVILLE, FL 32606-9143
(352) 281-8526
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PY7142
LICENSE
FL
Enumeration date
03/10/2022
Last updated
03/10/2022
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