Provider Demographics
NPI:1386208569
Name:TRINH, THAO-CHAU THUY (MS, PSYD)
Entity Type:Individual
Prefix:DR
First Name:THAO-CHAU
Middle Name:THUY
Last Name:TRINH
Suffix:
Gender:F
Credentials:MS, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 MONTEREY BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94127-2221
Mailing Address - Country:US
Mailing Address - Phone:415-598-8378
Mailing Address - Fax:
Practice Address - Street 1:3120 TELEGRAPH AVE STE 7C
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-1965
Practice Address - Country:US
Practice Address - Phone:415-598-0126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-24
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 390200000X
CAPSY34866103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent