Individual provider · Type 1 NPI
Khatidja S. Ali
Health Service Psychologist · Memphis, TN
NPI number
1700123239
Active
Practice location
1030 Jefferson Ave
Memphis, TN 38104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Psychologist Primary | 103TH0100X | P0000003082 (TN) |
Health Service Psychologist: 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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About NPI 1700123239
Khatidja S. Ali's National Provider Identifier is 1700123239, issued on Jan 3, 2013. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Memphis, TN. The record was last updated on Jan 3, 2013.