Tan, Simon
Tan, Simon is an individual health care provider with primary practice located at 300 Pasteur Dr , Stanford CA 94305-2200. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Tan, Simon can be contacted via phone (408) 396-9381.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PSY20181 | California |
Profile Details
| NPI number | 1902932536 |
|---|---|
| LBN Legal business name | Tan, Simon |
| Credentials | PSYD. ABPP-CN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Nov 7th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902932536 | NPPES |
| California | MEDICAID | PSY201810 |
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