Dr Peter Henphuc Ly, PSYD | |
611 S Milpitas Blvd, Milpitas, CA 95035-5473 | |
(408) 945-2915 | |
Not Available |
Full Name | Dr Peter Henphuc Ly |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 611 S Milpitas Blvd, Milpitas, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356403448 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY 18557 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Dr Peter Henphuc Ly, PSYD 611 S Milpitas Blvd, Milpitas, CA 95035-5473 Ph: (408) 945-6923 | Dr Peter Henphuc Ly, PSYD 611 S Milpitas Blvd, Milpitas, CA 95035-5473 Ph: (408) 945-2915 |
Dr. Florence M Wang, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 143 N Main St, Milpitas, CA 95035 Phone: 408-957-8300 | |
Dr. Karen Corinne Scharff, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 770 E Calaveras Blvd, Milpitas, CA 95035 Phone: 408-945-2915 Fax: 408-945-5007 | |
Erasmo Nevarez, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 611 S Milpitas Blvd, Milpitas, CA 95035 Phone: 408-945-6936 Fax: 408-945-5007 | |
Michelle Kolinsky, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 701 S Abel St, Milpitas, CA 95035 Phone: 408-934-5128 | |
Dr. Ward Douglas Finer, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 770 E Calaveras Blvd, Milpitas, CA 95035 Phone: 408-945-2915 Fax: 408-945-5007 | |
Thuhien Thi Nguyen, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 701 S Abel St, Milpitas, CA 95035 Phone: 408-957-5900 |