Provider Demographics
NPI:1669719431
Name:ADHAL, SABA (PSYD)
Entity type:Individual
Prefix:DR
First Name:SABA
Middle Name:
Last Name:ADHAL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 FAIRMONT DR
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-4350
Mailing Address - Country:US
Mailing Address - Phone:850-832-4670
Mailing Address - Fax:
Practice Address - Street 1:3001 FAIRMONT DR
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-4350
Practice Address - Country:US
Practice Address - Phone:850-832-4670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-13
Last Update Date:2013-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional