Provider Demographics
NPI:1023344769
Name:KHALSA, HAR KAUR (LCSW)
Entity type:Individual
Prefix:MRS
First Name:HAR
Middle Name:KAUR
Last Name:KHALSA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 N HAYDEN RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-6652
Mailing Address - Country:US
Mailing Address - Phone:602-790-9575
Mailing Address - Fax:
Practice Address - Street 1:3200 N HAYDEN RD
Practice Address - Street 2:SUITE 105
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6652
Practice Address - Country:US
Practice Address - Phone:602-790-9575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-01
Last Update Date:2009-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-113071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical