Provider Demographics
NPI:1790048908
Name:BRAIS-NGUYEN, CAMHUYEN T (MS)
Entity Type:Individual
Prefix:
First Name:CAMHUYEN
Middle Name:T
Last Name:BRAIS-NGUYEN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 711185
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84171-1185
Mailing Address - Country:US
Mailing Address - Phone:801-942-3311
Mailing Address - Fax:801-942-5955
Practice Address - Street 1:201 SAND CREEK RD STE G4
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-2124
Practice Address - Country:US
Practice Address - Phone:925-529-4790
Practice Address - Fax:801-942-5955
Is Sole Proprietor?:No
Enumeration Date:2012-06-21
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist