Dr Jennifer Ngoc-son Phan, PSYD is a
Psychologist based in Pasadena, California. Dr Jennifer Ngoc-son Phan is licensed to practice in * (Not Available) (license number ) and her current practice location is
210 S De Lacey Ave Ste 110, Pasadena, California. She can be reached at her office (for appointments etc.) via phone at
(626) 395-7100.
NPI number for Dr Jennifer Ngoc-son Phan is 1801045158 and her current mailing address is 210 S De Lacey Ave Ste 110, Pasadena, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1801045158.
Healthcare Provider's Profile
| Full Name | Dr Jennifer Ngoc-son Phan |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 210 S De Lacey Ave Ste 110, Pasadena, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1801045158
- Provider Enumeration Date: 09/11/2008
- Last Update Date: 08/05/2014
Medical Identifiers
Medical identifiers for Dr Jennifer Ngoc-son Phan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801045158 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 225C00000X | Rehabilitation Counselor | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jennifer Ngoc-son Phan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jennifer Ngoc-son Phan, PSYD
210 S De Lacey Ave Ste 110,
Pasadena, CA 91105-2074
Ph: (626) 395-7100 | Dr Jennifer Ngoc-son Phan, PSYD
210 S De Lacey Ave Ste 110,
Pasadena, CA 91105-2074
Ph: (626) 395-7100 |
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