Provider Demographics
NPI:1033096151
Name:KAMLAH, SHAHED SHAFIK
Entity type:Individual
Prefix:
First Name:SHAHED
Middle Name:SHAFIK
Last Name:KAMLAH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 CARROLLTON CT
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29650-2682
Mailing Address - Country:US
Mailing Address - Phone:864-790-2168
Mailing Address - Fax:
Practice Address - Street 1:209 CARROLLTON CT
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-2682
Practice Address - Country:US
Practice Address - Phone:864-790-2168
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst