Individual
ANH PHUONG HA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
100 SHORELINE HWY STE 100, MILL VALLEY, CA 94941-3645
(415) 877-4408
Mailing address
554 LASSEN ST, LOS ALTOS, CA 94022-3910
(504) 722-8730
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
34298
CA
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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