Individual
OLIVIA PHAYVANH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
455 WINDROSE WAY, CHULA VISTA, CA 91910-7400
(619) 498-3000
Mailing address
455 WINDROSE WAY, CHULA VISTA, CA 91910-7400
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
CA
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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