Organization · Type 2 NPI

Khan Interstellar Psychology and Consulting

Clinical Psychologist · Berkeley Lake, GA

NPI number 1316804750 Active

Practice location

3301 N Berkeley Lake Rd NW Fl 1
Berkeley Lake, GA 30096-3187

Mailing address

202 Misty Grove Dr
Loganville, GA 30052-9054

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XNone listed

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1316804750

Khan Interstellar Psychology and Consulting's National Provider Identifier is 1316804750, issued on Jan 7, 2026. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Berkeley Lake, GA. The record was last updated on Jan 7, 2026.