ALTA-GRACE TAN, PSYD

Psychologist

Active Individual
NPI: 1295839322

Practice Address

17075 DEVONSHIRE STREET
STE 204
Northridge, CA 91325

Phone: (818) 368-8929

Specialties

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

Frequently Asked Questions

NPI 1295839322 is the National Provider Identifier for ALTA-GRACE TAN, PSYD, a Psychologist provider located in Northridge, CA. This NPI was enumerated on September 11, 2006.
ALTA-GRACE TAN, PSYD practices at 17075 DEVONSHIRE STREET, STE 204, Northridge, CA 91325.

Quick Facts

NPI
1295839322
Type
Individual
Enumerated
Sep 11, 2006
Last Updated
Jan 20, 2012

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