Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly T Pham

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114231669

Kelly T Pham is a Student in an Organized Health Care Education/Training Program in Modesto, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Modesto, CA

No coordinates on file. Search this address in Google Maps

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY29070 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114231669
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 27, 2010
Last updated in NPPESJanuary 22, 2023
Certification dateJanuary 22, 2023

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