SearchNew Mexico103TC0700X

Priscilla Phan, PSYD

NPI 1699412171 · on the registry since 2022

Practice

Address
224 W D.L. Ingram Ave
Bldg. 1408
Cannon Afb, NM 88103
Phone
(575) 784-1108
Clinicians at this address
46

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Also registered as
101YM0800X
390200000X
Licence states on file
NM, TX, VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-06-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico