Provider Demographics
NPI:1598914376
Name:TRAN, PRISCILLA HSIEH (PSYD)
Entity Type:Individual
Prefix:DR
First Name:PRISCILLA
Middle Name:HSIEH
Last Name:TRAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:PRISCILLA
Other - Middle Name:
Other - Last Name:HSIEH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:385 IMPERIAL HWY
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-1040
Mailing Address - Country:US
Mailing Address - Phone:714-681-9070
Mailing Address - Fax:
Practice Address - Street 1:385 IMPERIAL HWY
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835-1040
Practice Address - Country:US
Practice Address - Phone:714-681-9070
Practice Address - Fax:626-497-8609
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-16
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29746103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent