Individual
MOHAMED KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OWNER
Contact information
Practice address
2075 S COTTONWOOD DR, TEMPE, AZ 85282-3040
(602) 362-1823
Mailing address
2075 S COTTONWOOD DR, TEMPE, AZ 85282-3040
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/06/2019
Last updated
06/13/2019
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