Alta-Grace L Tan, Psy D Psychological Services, INC
NPI #1104920230 in Northridge, California
Provider Information
- NPI Number
- 1104920230
- Entity Type
- Organization
- Organization Name
- Alta-Grace L Tan, Psy D Psychological Services, INC
- Primary Specialty
- Psychologist
- Enumeration Date
- Sep 11, 2006
- Last Updated
- May 28, 2010
Practice Location
- Address
- 18546 ROSCOE BLVD
- Address 2
- STE 210
- City
- Northridge
- State
- California
- ZIP Code
- 91324-5454
- Phone
- (818) 886-5628
Authorized Official
- Name
- ALTA-GRACE L TAN, PSY D
- Title
- OWNER
- Phone
- (818) 523-1809
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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