KELLY PHAM
Psychologist - Clinical
Active
Individual
NPI: 1114231669
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Psychologist - Clinical | 103TC0700X | Yes | PSY29070 (CA) |
Frequently Asked Questions
NPI 1114231669 is the National Provider Identifier for KELLY PHAM, a Psychologist - Clinical provider located in Modesto, CA. This NPI was enumerated on July 27, 2010.
KELLY PHAM practices at 1015 12TH ST STE 2, Modesto, CA 95354.
Quick Facts
- NPI
- 1114231669
- Type
- Individual
- Enumerated
- Jul 27, 2010
- Last Updated
- Jan 22, 2023
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