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Phung Giai Tieu
Clinical Psychologist in San Jose, California
NPI 1982814349

Phung Giai Tieu is a Clinical Psychologist based in San Jose, CA and is specialized in Clinical. Phung Giai Tieu practices in San Jose, CA. The NPI Number for Phung Giai Tieu is 1982814349 and holds a License No. (California).

The current practice location address for Phung Giai Tieu is 2400 Moorpark Ave Ste 300, San Jose, CA and can be reached out via phone at 858-699-6919 and via fax at 408-975-2745. You can also correspond with Phung Giai Tieu through the mailing address at 2400 MOORPARK AVE, SAN JOSE, CA - 95128-2631 (mailing address contact number: 408-975-2730).

Location: 2400 Moorpark Ave Ste 300, San Jose, CA, 95128-2631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982814349
Provider Name
Phung Giai Tieu
Credential
Provider Entity Type
Individual
Gender
Female
Address
2400 Moorpark Ave Ste 300, San Jose, CA, 95128-2631
Phone Number
858-699-6919
Fax Number
408-975-2745
Provider Enumeration Date
05/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2400 Moorpark Ave Ste 300
City
San Jose
State
California
Zip
95128-2680
Phone Number
858-699-6919
Fax Number
408-975-2745
person
Provider Business Mailing Address Details
Address
2400 Moorpark Ave
City
San Jose
State
California
Zip
95128-2631
Phone Number
408-975-2730
Fax Number
408-975-2745
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
PSY26928 (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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