Provider Demographics
NPI:1356906051
Name:NGUYEN, VIET HAN HUU (AUD)
Entity type:Individual
Prefix:
First Name:VIET HAN
Middle Name:HUU
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:HAN
Other - Middle Name:
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AUD
Mailing Address - Street 1:4175 N EUCLID AVE STE 10
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-2483
Mailing Address - Country:US
Mailing Address - Phone:989-684-4400
Mailing Address - Fax:989-684-0560
Practice Address - Street 1:4175 N EUCLID AVE STE 10
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-2483
Practice Address - Country:US
Practice Address - Phone:989-684-4400
Practice Address - Fax:989-684-0560
Is Sole Proprietor?:No
Enumeration Date:2019-05-08
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist