Individual
MS. CHRISTINE PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
14600 SHERMAN WAY STE 220, VAN NUYS, CA 91405-5851
(800) 951-4440
Mailing address
14600 SHERMAN WAY STE 220, VAN NUYS, CA 91405-5851
(800) 951-4440
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 21241
CA
Other
Enumeration date
12/01/2016
Last updated
12/31/2019
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