Individual
DR. LORNA PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
17821 17TH ST STE 290, TUSTIN, CA 92780-2171
(949) 237-0893
Mailing address
17821 17TH ST STE 290, TUSTIN, CA 92780-2171
(949) 237-0893
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
07/26/2010
Last updated
11/12/2020
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