Provider Demographics
NPI:1295746212
Name:HUYNH, ANN LAN (PSYD)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:LAN
Last Name:HUYNH
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:ANN
Other - Middle Name:LAN
Other - Last Name:HUYNH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:6621 SW 12TH LN
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-0015
Mailing Address - Country:US
Mailing Address - Phone:808-728-2680
Mailing Address - Fax:
Practice Address - Street 1:6621 SW 12TH LN
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-0015
Practice Address - Country:US
Practice Address - Phone:808-728-2680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY9028103TC0700X
HIPSY-891103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHY175YMedicare PIN
100352Medicare PIN