Provider Demographics
NPI:1639899578
Name:LE, THUY-GIANG CAITLIN (AUD)
Entity Type:Individual
Prefix:
First Name:THUY-GIANG
Middle Name:CAITLIN
Last Name:LE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11300 ROCKVILLE PIKE STE 105
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3042
Mailing Address - Country:US
Mailing Address - Phone:240-477-1010
Mailing Address - Fax:240-477-1012
Practice Address - Street 1:11300 ROCKVILLE PIKE STE 105
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3042
Practice Address - Country:US
Practice Address - Phone:240-477-1010
Practice Address - Fax:240-477-1012
Is Sole Proprietor?:No
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01615231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist