Organization
KHALIL PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANI KHALIL PHD, HSPP (OWNER)
(260) 217-4384
Entity
Organization
Contact information
Practice address
124 W SUPERIOR ST UNIT 659, FORT WAYNE, IN 46802-1259
(260) 217-4384
Mailing address
124 W SUPERIOR ST UNIT 659, FORT WAYNE, IN 46802-1259
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/10/2025
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