Alta-Grace L Tan, Psy D Psychological Services, Inc in Northridge - Psychologist

Alta-Grace L Tan, Psy D Psychological Services, Inc - NPI 1104920230

Alta-Grace L Tan, Psy D Psychological Services, Inc is a Psychologist in Northridge, California. Alta-Grace L Tan, Psy D Psychological Services, Inc practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Alta-Grace L Tan, Psy D Psychological Services, Inc is 1104920230. The last update date is 2010-05-28.

Alta-Grace L Tan, Psy D Psychological Services, Inc's current location address is 18546 Roscoe Blvd Ste 210, Northridge, California. You can contact this provider via phone number 8188865628. The mailing address for Alta-Grace L Tan, Psy D Psychological Services, Inc is 18546 Roscoe Blvd Ste 210, Northridge, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Alta-Grace L Tan, Psy D Psychological Services, Inc
Address 18546 Roscoe Blvd Ste 210, Northridge, California
Phone Number 8188865628
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Tan L Alta-Grace
Credentials PSY D
Telephone Number 8185231809

NPI Number Detail

NPI Number 1104920230
Provider Enumeration Date 2006-09-11
Last Updated Date 2010-05-28

Provider Mailing Address Detail

Address 18546 Roscoe Blvd Ste 210
City Northridge
State California (CA)
Post Code 913245454
Phone Number 8188865628
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No PSY18653
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

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FAQs about Alta-Grace L Tan, Psy D Psychological Services, Inc

What is the unique identification code assigned to Alta-Grace L Tan, Psy D Psychological Services, Inc by the Centers for Medicare & Medicaid Services?

The Alta-Grace L Tan, Psy D Psychological Services, Inc has been issued the NPI (National Provider Identifier) 1104920230. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Alta-Grace L Tan, Psy D Psychological Services, Inc is geographically located?

The Alta-Grace L Tan, Psy D Psychological Services, Inc is physically situated at the following location: 18546 Roscoe Blvd Ste 210, Northridge, CA, 913245454.

What is Alta-Grace L Tan, Psy D Psychological Services, Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Alta-Grace L Tan, Psy D Psychological Services, Inc is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.

When did Alta-Grace L Tan, Psy D Psychological Services, Inc receive its 1104920230 assignment?

The Alta-Grace L Tan, Psy D Psychological Services, Inc was assigned its 1104920230 on 2006-09-11, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Alta-Grace L Tan, Psy D Psychological Services, Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Alta-Grace L Tan, Psy D Psychological Services, Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-05-28.

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