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DR. MERIDITH LYNN PHANCO PH.D.
NPI 1821259037
Psychologist - Clinical in La Mirada, CA

Active since June 19, 2008
12625 LA MIRADA BLVD STE 202, LA MIRADA, CA 90638(562) 903-4800(562) 903-4802 Get Directions Write a Review

NPPES record last updated: June 19, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Meridith Lynn Phanco Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MERIDITH LYNN PHANCO PH.D. (NPI 1821259037) is an individual clinical provider in La Mirada, California, licensed in California (PSY21423) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1821259037
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MERIDITH LYNN PHANCOCredential: PH.D.
Location Address12625 LA MIRADA BLVD STE 202La Mirada, CA 90638-2213
Mailing Address12625 La Mirada Blvd Ste 202La Mirada, CA 90638-2213 · (562) 903-4800 · Fax (562) 903-4802
Phone(562) 903-4800
Fax(562) 903-4802
Sole ProprietorNo
Enumeration DateJune 19, 2008
✔ NPI 1821259037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY21423
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
12625 LA MIRADA BLVD STE 202, La Mirada, CA 90638
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ELISA SHEPARD PH.D.
Psychologist (Clinical)
12625 LA MIRADA BLVD STE 202
LA MIRADA, CA 90638
Los Angeles County (562) 903-4800
DR. DAVID CIMBORA PH.D.
Psychologist (Clinical)
12625 LA MIRADA BLVD STE 202, BIOLA COUNSELING CENTER
LA MIRADA, CA 90638
Los Angeles County (562) 903-4800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Meridith Phanco's NPI number?

The NPI number for Meridith Phanco is 1821259037. It was assigned to this individual provider in the NPPES registry on June 19, 2008.

Where is Meridith Phanco located?

Meridith Phanco practices at 12625 La Mirada Blvd Ste 202, La Mirada, CA 90638. The listed phone number is (562) 903-4800.

What is Meridith Phanco's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Meridith Phanco was last updated on June 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.