Provider Demographics
NPI:1437976552
Name:KHALIFA, SALWA HAMDI
Entity type:Individual
Prefix:MISS
First Name:SALWA
Middle Name:HAMDI
Last Name:KHALIFA
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:SALWA
Other - Middle Name:HAMDI
Other - Last Name:MOHIELDIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17335 PAGONIA RD # STATE109
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-6011
Mailing Address - Country:US
Mailing Address - Phone:407-871-9030
Mailing Address - Fax:
Practice Address - Street 1:17335 PAGONIA RD # STATE109
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-6011
Practice Address - Country:US
Practice Address - Phone:407-871-9030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician