Provider Demographics
NPI:1437373396
Name:NGUYEN, VAN THANH (PLMHP)
Entity Type:Individual
Prefix:MS
First Name:VAN
Middle Name:THANH
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 BENTON CT
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-2798
Mailing Address - Country:US
Mailing Address - Phone:402-436-1955
Mailing Address - Fax:
Practice Address - Street 1:3940 CORNHUSKER HWY STE 600
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68504-1599
Practice Address - Country:US
Practice Address - Phone:402-464-8866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE6554101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health