Individual
SIMON TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD. ABPP-CN
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(408) 396-9381
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY20181
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY201810
—
CA
Enumeration date
02/26/2007
Last updated
11/07/2023
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