Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PRISCILLA PHAN, PSYD
ActiveDR. PRISCILLA PHAN, PSYD is a Clinical Psychologist healthcare provider located in CANNON AFB, New Mexico. NPI 1699412171 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · CANNON AFB, NM
Registration Details
- NPI Number
- 1699412171
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 17, 2022 (4.2226696695103 yrs)
- Last Updated
- Jun 27, 2025
- License
-
0810008963 (VA)
Practice Information
- Address
-
224 W D.L. INGRAM AVEBLDG. 1408CANNON AFB, NM, 88103Browse NM providers · Browse ZIP 88103
- Phone
- 5757841108
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in CANNON AFB, NM
| Name | Credential | NPI |
|---|---|---|
| MARCIA MARIE MIDDEL | PH.D. | 1194710863 |
| DR. BRYAN W BOVITZ | PHD | 1689824518 |
| BEBA MILAGROS PEREZ RODRIGUEZ | LCP | 1083290480 |
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.