Phoua Vang

School Psychologist · Lodi, CA

Individual Active NPI

NPI number 1912736521

Practice location

1305 E Vine St
Lodi, CA 95240-3148
Phone
(209) 331-8925

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NPI record

NPI
1912736521
Entity type
Individual (Type 1)
Enumeration date
July 31, 2024
Last updated
July 31, 2024
Certified
July 29, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
School Psychologist Primary 103TS0200X 240192353 CA

Mailing address

1701 S Mills Ave Apt 100
Lodi, CA 95242-4262
Phone
(559) 575-1426

About Phoua Vang

Phoua Vang is a healthcare provider registered in the NPI registry with the primary taxonomy School Psychologist (code 103TS0200X). The practice location is 1305 E Vine St, Lodi, CA 95240-3148. The NPI number 1912736521 was assigned on July 31, 2024 and the record was last updated on July 31, 2024.

Phoua Vang lists a license in the registry: #240192353 (CA) for School Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Phoua Vang?

The NPI number is 1912736521.

What is the phone number of Phoua Vang?

The phone number listed for the practice location is (209) 331-8925.

Where is Phoua Vang located?

1305 E Vine St, Lodi, CA 95240-3148.

What is the taxonomy code for Phoua Vang?

The primary taxonomy code is 103TS0200X – School Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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