Individual provider · Type 1 NPI
Priscilla Phan, PSYD
Clinical Psychologist · Cannon Afb, NM
Practice location
224 W D.l. Ingram Ave, Bldg. 1408
Cannon Afb, NM 88103
Mailing address
27 Somdg, 104 W. D.l. Ingram Ave
Cannon Afb, NM 88101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Clinical Psychologist Primary | 103TC0700X | 0810008963 (VA) |
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…
3 other providers at this address
Other clinical psychologist providers in Cannon Afb
About NPI 1699412171
Priscilla Phan, PSYD's National Provider Identifier is 1699412171, issued on May 17, 2022. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Cannon Afb, NM. The record was last updated on Jun 27, 2025.