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Dr. Khatidja S Ali
Health Service Psychologist in Memphis, Tennessee
NPI 1700123239

Khatidja S Ali is a Health Service Psychologist based in Memphis, TN and is specialized in Health Service. Khatidja S Ali practices in Memphis, TN. The NPI Number for Khatidja S Ali is 1700123239 and holds a License No. P0000003082 (Tennessee).

The current practice location address for Khatidja S Ali is 1030 Jefferson Ave, Memphis, TN and can be reached out via phone at 901-523-8990.

Location: 1030 Jefferson Ave, Memphis, TN, 38104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700123239
Provider Name
Khatidja S Ali
Credential
Provider Entity Type
Individual
Gender
Female
Address
1030 Jefferson Ave, Memphis, TN, 38104
Phone Number
901-523-8990
Fax Number
Provider Enumeration Date
01/03/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1030 Jefferson Ave
City
Memphis
State
Tennessee
Zip
38104
Phone Number
901-523-8990
Fax Number
person
Provider Business Mailing Address Details
Address
1030 Jefferson Ave
City
Memphis
State
Tennessee
Zip
38104
Phone Number
901-523-8990
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
P0000003082 (Tennessee)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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