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Organization
TIEN PHAN PSYCHOLOGIST, PC
Active
Organization
TIEN PHAN PSYCHOLOGIST, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIEN VANG PHAN PSYD (CLINICAL PSYCHOLOGIST)
(415) 728-5445
Entity
Organization
Contact information
Practice address
5755 OBERLIN DR STE 203, SAN DIEGO, CA 92121-1786
(858) 218-6187
Mailing address
5663 BALBOA AVE STE 380, SAN DIEGO, CA 92111-2705
(415) 728-5445
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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