Individual
DR. OLIVIA MINH PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
124 S 7TH ST, PHILADELPHIA, PA 19106-3216
(267) 225-7744
Mailing address
909 S 11TH ST, FLOOR 2, PHILADELPHIA, PA 19147-3701
(267) 225-7744
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS017346
PA
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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