Individual provider · Type 1 NPI

Tien Vang Phan, MA

Clinical Psychologist · San Diego, CA

NPI number 1497097950 Active

Practice location

7228 Hyatt St
San Diego, CA 92111-6102

Mailing address

5663 Balboa Ave Ste 380
San Diego, CA 92111-2705

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSY32425 (CA)
Mental Health Counselor 101YM0800XNone listed

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 1497097950

Tien Vang Phan, MA's National Provider Identifier is 1497097950, issued on Mar 22, 2013. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in San Diego, CA. The record was last updated on Dec 3, 2024.