Individual
DR. BAOCHAN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3400 SPRUCE ST, 2 RAVDIN, PHILADELPHIA, PA 19104-4238
(215) 662-3606
(215) 349-5579
Mailing address
3400 SPRUCE ST, 2 RAVDIN, PHILADELPHIA, PA 19104-4238
(215) 662-3606
(215) 349-5579
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS018764
PA
103T00000X
Psychologist
PS018764
PA
Other
Enumeration date
03/27/2019
Last updated
09/10/2019
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