# Priscilla Phan, PsyD

- **NPI:** 1699412171
- **NPI Type:** Individual
- **Status:** Active
- **Enumeration date:** 2022-05-17
- **Last updated:** 2025-06-27
- **Practice address:** 224 W D.l. Ingram Ave, Bldg. 1408, Cannon Afb, NM 88103
- **Mailing address:** 27 Somdg, 104 W. D.l. Ingram Ave, Cannon Afb, NM 88101
- **Phone:** 575-784-1108

## Taxonomy

| Code | Description | License | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Counselor, Mental Health |  | NM | No |
| 390200000X | Student in an Organized Health Care Education/Training Program |  | TX | No |
| 103TC0700X | Psychologist, Clinical | 0810008963 | VA | Yes |

## Provider directory

- [Psychologists in New Mexico](https://www.verifytx.com/npi-lookup/taxonomy/psychologist/NM/)
- [Counselors in New Mexico](https://www.verifytx.com/npi-lookup/taxonomy/counselor/NM/)
- [Substance use rehabilitation facilities in New Mexico](https://www.verifytx.com/npi-lookup/taxonomy/substance-abuse-rehabilitation-facility/NM/)
- [Psychiatric hospitals in New Mexico](https://www.verifytx.com/npi-lookup/taxonomy/psychiatric-hospital/NM/)
- [Psychiatric residential treatment facilities in New Mexico](https://www.verifytx.com/npi-lookup/taxonomy/psychiatric-residential-treatment-facility/NM/)
- [Skilled nursing facilities in New Mexico](https://www.verifytx.com/npi-lookup/taxonomy/skilled-nursing-facility/NM/)

## Data Notice:

The information provided by VerifyTreatment (VerifyTX) is sourced from the publicly available NPPES database, in accordance with the NPPES Data Dissemination Notice, Freedom of Information Act (FOIA), and e-FOIA amendments. Data is offered “as is” without warranty as to accuracy or reliability. For official NPI assistance, contact the NPI Enumerator at (800) 465-3203 or P.O. Box 6059, Fargo, ND 58108.

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