Individual
DR. KHALILA FORDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
PSYD
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
103TC0700X
Clinical Psychologist
Primary
PY60836125
WA
Other
Enumeration date
03/17/2026
Last updated
03/17/2026
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