Individual
DAISY PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MONTGOMERY ST STE 2400, SAN FRANCISCO, CA 94104-5524
(650) 648-4170
Mailing address
1310 SHAFTER AVE, SAN FRANCISCO, CA 94124-3345
(415) 420-9866
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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