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Kelly T Pham
Clinical Psychologist in Modesto, California
NPI 1114231669

Kelly T Pham is a Clinical Psychologist based in Modesto, CA and is specialized in Clinical. Kelly T Pham practices in Modesto, CA. The NPI Number for Kelly T Pham is 1114231669 and holds a License No. (California).

The current practice location address for Kelly T Pham is 1015 12Th St Ste 2, Modesto, CA and can be reached out via phone at 209-496-2327. You can also correspond with Kelly T Pham through the mailing address at 1015 12TH ST STE 2, MODESTO, CA - 95354-0838 (mailing address contact number: 209-496-2327).

Location: 1015 12Th St Ste 2, Modesto, CA, 95354-0838
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114231669
Provider Name
Kelly T Pham
Credential
Provider Entity Type
Individual
Gender
Female
Address
1015 12Th St Ste 2, Modesto, CA, 95354-0838
Phone Number
209-496-2327
Fax Number
Provider Enumeration Date
07/27/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1015 12Th St Ste 2
City
Modesto
State
California
Zip
95354-0838
Phone Number
209-496-2327
Fax Number
person
Provider Business Mailing Address Details
Address
1015 12Th St Ste 2
City
Modesto
State
California
Zip
95354-0838
Phone Number
209-496-2327
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
PSY29070 (California)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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