Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALTA-GRACE L TAN, PSYD
ActiveALTA-GRACE L TAN, PSYD is a Psychologist healthcare provider located in NORTHRIDGE, California. NPI 1295839322 is currently active in the NPPES registry. Verify at CMS.
Psychologist · NORTHRIDGE, CA
Registration Details
- NPI Number
- 1295839322
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 11, 2006 (19.884838272512 yrs)
- Last Updated
- Jan 20, 2012
- License
-
PSY18653 (CA)
Practice Information
- Address
-
17075 DEVONSHIRE STREETSTE 204NORTHRIDGE, CA, 913255408Browse CA providers · Browse ZIP 91325
- Phone
- 8183688929
- Fax
- 8183688940
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in NORTHRIDGE, CA
| Name | Credential | NPI |
|---|---|---|
| CARLOS FERNANDO SAUCEDO | PH D | 1811982267 |
| DR. LEONARD M VOSEN | PH.D | 1366473506 |
| DR. LARRY E GAINES | PH.D | 1093828816 |
| DR. PETER JOHN ADLER | ED.D. | 1073671343 |
| BRUCE FARWELL | — | 1962547380 |
| DR. STACEY ANN COHEN-MAITRE | — | 1194857458 |
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.