Provider Demographics
NPI:1417236258
Name:LUU, CAITLIN QUYNH-NHU
Entity Type:Individual
Prefix:MS
First Name:CAITLIN
Middle Name:QUYNH-NHU
Last Name:LUU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9862 CHAPMAN AVE
Mailing Address - Street 2:B
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92841-2726
Mailing Address - Country:US
Mailing Address - Phone:714-640-3471
Mailing Address - Fax:714-640-3475
Practice Address - Street 1:9862 CHAPMAN AVE
Practice Address - Street 2:B
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92841-2726
Practice Address - Country:US
Practice Address - Phone:714-640-3471
Practice Address - Fax:714-640-3475
Is Sole Proprietor?:No
Enumeration Date:2011-08-10
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health