Provider Demographics
NPI:1528533924
Name:NGUYEN, NINA HUONG (PHD)
Entity Type:Individual
Prefix:
First Name:NINA
Middle Name:HUONG
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:595 E COLORADO BLVD
Mailing Address - Street 2:STE 324
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-2021
Mailing Address - Country:US
Mailing Address - Phone:818-839-1365
Mailing Address - Fax:626-385-4871
Practice Address - Street 1:595 E COLORADO BLVD STE 802
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-2001
Practice Address - Country:US
Practice Address - Phone:626-656-3595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-11
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist