Provider Demographics
NPI:1447083746
Name:DHAKAL, SANJAY
Entity type:Individual
Prefix:
First Name:SANJAY
Middle Name:
Last Name:DHAKAL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10324 BURTRUM DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76177-1641
Mailing Address - Country:US
Mailing Address - Phone:208-760-8636
Mailing Address - Fax:
Practice Address - Street 1:1201 N WATSON RD STE 228
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-6248
Practice Address - Country:US
Practice Address - Phone:682-321-7004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-22
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist