| Kelly Granger Nguyen, Psy.d. | |
|
222 W Main St #101 Tustin CA 92780-7720 | |
| (949) 381-1519 | |
| Not Available |
| Full Name | Kelly Granger Nguyen, Psy.d. |
|---|---|
| Speciality | Psychologist |
| Location | 222 W Main St, Tustin, California |
| Authorized Official Name and Position | Kelly Marie Granger (PRESIDENT/SECRETARY) |
| Authorized Official Contact | 9493811519 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Granger Nguyen, Psy.d. 222 W Main St #101 Tustin CA 92780-7720 Ph: (949) 381-1519 | Kelly Granger Nguyen, Psy.d. 222 W Main St #101 Tustin CA 92780-7720 Ph: (949) 381-1519 |
| NPI Number | 1528515236 |
|---|---|
| Provider Enumeration Date | 09/10/2016 |
| Last Update Date | 09/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528515236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 28523 (California) | Primary |
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