Provider Demographics
NPI:1417709742
Name:DAHLIA PSYCHOLOGY PLLC
Entity Type:Organization
Organization Name:DAHLIA PSYCHOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAHLIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGDY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:813-614-0193
Mailing Address - Street 1:10419 WISCANE AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32836-6567
Mailing Address - Country:US
Mailing Address - Phone:813-614-0193
Mailing Address - Fax:
Practice Address - Street 1:10419 WISCANE AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32836-6567
Practice Address - Country:US
Practice Address - Phone:813-614-0193
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty