Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY T PHAM
Active Sole ProprietorKELLY T PHAM is a Clinical Psychologist healthcare provider located in MODESTO, California. NPI 1114231669 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · MODESTO, CA
Registration Details
- NPI Number
- 1114231669
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 27, 2010 (16.060935945261 yrs)
- Last Updated
- Jan 22, 2023
- License
-
PSY29070 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1015 12TH ST STE 2MODESTO, CA, 953540838Browse CA providers · Browse ZIP 95354
- Phone
- 2094962327
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in MODESTO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT LEROY MORGAN | PH.D. | 1831150192 |
| DR. ANNA MARIA HALL | PH.D. | 1306880448 |
| DR. LEE JAMES ERVIN | PH.D. | 1245331172 |
| MICHAEL SCOTT THOMAS | PH.D. | 1609977875 |
| MARK ELLIS LITYNSKY | PH.D. | 1205937489 |
| BARRY ROBERT OLSON | PH.D | 1639261134 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.