Individual
DR. DIEM CHAU THI PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
11059 E BETHANY DR, AURORA, CO 80014-2622
(303) 617-2300
Mailing address
1290 CHAMBERS RD, AURORA, CO 80011-7117
(303) 617-2300
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY.0004126
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06555225
—
CO
Enumeration date
07/22/2014
Last updated
03/08/2021
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