Provider Information for 1609077056
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
FROOGH A VAKILI KHATIBLOO MS, LPCC
Sex: Female
NPI: 1609077056
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1609077056 | ||||||||
| Enumeration Date | 2007-05-31 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3821 LITTLE YORK RD DAYTON, OH 45414-2409 United States Phone: 937-454-0092 | Fax:937-264-1101 | ||||||||
| Primary Practice Address | 28 E RAHN RD SUITE 105 KETTERING, OH 45429-5461 United States Phone: 937-454-0092 | Fax:937-264-1101 | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|