DR. Priscilla Phan, PSYD
NPI #1699412171 in Cannon Afb, New Mexico
Provider Information
- NPI Number
- 1699412171
- Entity Type
- Individual
- Name
- DR. Priscilla Phan, PSYD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical
- Credential
- PSYD
- Enumeration Date
- May 17, 2022
- Last Updated
- Jun 27, 2025
Practice Location
- Address
- 224 W D.L. INGRAM AVE
- Address 2
- BLDG. 1408
- City
- Cannon Afb
- State
- New Mexico
- ZIP Code
- 88103
- Phone
- (575) 784-1108
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Student in an Organized Health Care Education/Training Program |
| Psychologist - Clinical — Clinical |
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