ALTA-GRACE L TAN, PSY D PSYCHOLOGICAL SERVICES, INC

Psychologist

Active Organization
NPI: 1104920230

Practice Address

18546 ROSCOE BLVD
STE 210
Northridge, CA 91324

Phone: (818) 886-5628

Specialties

Specialty Code Primary License
Psychologist 103T00000X Yes PSY18653 (CA)

Frequently Asked Questions

NPI 1104920230 is the National Provider Identifier for ALTA-GRACE L TAN, PSY D PSYCHOLOGICAL SERVICES, INC, a Psychologist provider located in Northridge, CA. This NPI was enumerated on September 11, 2006.

Quick Facts

NPI
1104920230
Type
Organization
Enumerated
Sep 11, 2006
Last Updated
May 28, 2010

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