DR. Meridith Lynn Phanco, PH.D.

NPI #1821259037 in La Mirada, California

Provider Information

NPI Number: 1821259037
Entity Type: Individual
Name: DR. Meridith Lynn Phanco, PH.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PH.D.
Enumeration Date: Jun 19, 2008
Last Updated: Jun 19, 2008

Practice Location

Address: 12625 LA MIRADA BLVD STE 202
City: La Mirada
State: California
ZIP Code: 90638-2213
Phone: (562) 903-4800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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