Individual provider · Type 1 NPI

Kelly T. Pham

Clinical Psychologist · Modesto, CA

NPI number 1114231669 Active

Practice location

1015 12th St Ste 2
Modesto, CA 95354-0838

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Clinical Psychologist Primary 103TC0700XPSY29070 (CA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1114231669

Kelly T. Pham's National Provider Identifier is 1114231669, issued on Jul 27, 2010. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Modesto, CA. The record was last updated on Jan 22, 2023.