PETERSON PHAM, LCSW
Social Worker - Clinical
Active
Individual
NPI: 1790107597
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | No | - |
| Social Worker - Clinical | 1041C0700X | Yes | - |
Frequently Asked Questions
NPI 1790107597 is the National Provider Identifier for PETERSON PHAM, LCSW, a Social Worker - Clinical provider located in Long Beach, CA. This NPI was enumerated on January 13, 2014.
PETERSON PHAM, LCSW practices at 1043 ELM AVE STE 302, Long Beach, CA 90813.
Quick Facts
- NPI
- 1790107597
- Type
- Individual
- Enumerated
- Jan 13, 2014
- Last Updated
- Nov 21, 2025
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