Victor T Tan, PSY.D HSPP
NPI #1689641243 in South Bend, Indiana
Provider Information
- NPI Number
- 1689641243
- Entity Type
- Individual
- Name
- Victor T Tan, PSY.D HSPP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical
- Credential
- PSY.D HSPP
- Enumeration Date
- Mar 2, 2006
- Last Updated
- Oct 14, 2010
Practice Location
- Address
- 403 E MADISON ST
- City
- South Bend
- State
- Indiana
- ZIP Code
- 46617-2322
- Phone
- (574) 283-1234
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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