VICTOR T TAN

SOUTH BEND, IN
NPI1689641243
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: IN  20041088A)
Enumeration Date2006-03-02
Last Update Date2010-10-14
Business Address
-- VICTOR T TAN PSY.D HSPP
403 E MADISON ST
SOUTH BEND, IN 46617-2322
Phone number: 574-283-1234
Mailing Address
-- VICTOR T TAN PSY.D HSPP
PO BOX 809
GOSHEN, IN 46527-0809
Phone number: 574-533-1234
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