Provider Demographics
NPI:1730281353
Name:LE, TRINH T (PHD)
Entity Type:Individual
Prefix:DR
First Name:TRINH
Middle Name:T
Last Name:LE
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 1:13818 MAGNOLIA MANOR DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-8162
Mailing Address - Country:US
Mailing Address - Phone:281-876-8448
Mailing Address - Fax:
Practice Address - Street 1:8955 HIGHWAY 6 N
Practice Address - Street 2:SUITE 150
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-2320
Practice Address - Country:US
Practice Address - Phone:281-373-3254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-03
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14657103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX87162AOtherBLUE CROSS BLUE SHIELD
TXP00315692OtherRAIL ROAD
TX8G4826Medicare ID - Type Unspecified
TX87162AOtherBLUE CROSS BLUE SHIELD