Dr. Tatum K Phan
Counseling Psychologist
1 Shields Ave Student Health & Counseling Services - Uc Davis
Davis
, California 95616-5270
Dr. Tatum K Phan
Counseling Psychologist
1 Shields Ave Student Health & Counseling Services - Uc Davis
Davis
, California 95616-5270
(530) 752-0871
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About
Features
Specialties
- Counseling Psychologist
Languages spoken
- English
Location
First Address
- Dr. Tatum K Phan
- 1 Shields Ave Student Health & Counseling Services - Uc Davis
- Davis, CA
- Zip : 95616-5270
- Phone : (530) 752-0871
Second Address
- Dr. Tatum K Phan
- 1 Shields Ave Student Health & Counseling Services - Uc Davis
- Davis, CA
- Zip : 95616-5270
- Phone : (530) 752-0871
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC1900X | Counseling Psychologist | 26065 | CA |
National Provider Identifier
| NPI | 1043649411 |
|---|---|
| Provider Name | Dr. Tatum K Phan |
| First Address | Davis, CA 95616-5270 |
| Second Address | Davis, CA 95616-5270 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/11/2013 |
| Last Update Date | 06/11/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.