Organization
GRAY MATTER SOLUTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALILA FORDHAM PSYD (PSYCHOLOGIST)
(678) 664-7336
Entity
Organization
Contact information
Practice address
2516 S ASH ST, TACOMA, WA 98405-3144
(678) 664-7336
Mailing address
2516 S ASH ST, TACOMA, WA 98405-3144
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
03/17/2026
Last updated
03/17/2026
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