Dr. Olivia Minh Phan, Ph.D.
Psychologist in Philadelphia, PA. Individual provider (NPI-1).
NPI number1124450002
StatusActive
Last updated in NPPESAug 2, 2013
Details
- NPI
- 1124450002
- Entity type
- Individual (NPI-1)
- Name
- Dr. Olivia Minh Phan
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 2, 2013
- Last updated
- Aug 2, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | PS017346 | PA | Yes |
Practice location
124 S 7th StPhiladelphia, PA 19106-3216
Phone 267-225-7744
Mailing address
909 S 11th StFloor 2
Philadelphia, PA 19147-3701
Phone 267-225-7744
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