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Individual

DR. PRISCILLA PHAN

Active
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Individual

DR. PRISCILLA PHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
NM
103TC0700X
Clinical Psychologist
Primary
0810008963
VA
390200000X
Student in an Organized Health Care Education/Training Program
TX

Other

Enumeration date
05/17/2022
Last updated
06/27/2025
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