Provider Demographics
NPI:1912089038
Name:NGUYEN, JAMES TRAN (PHD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:TRAN
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 E 9TH AVE STE 350
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-2738
Mailing Address - Country:US
Mailing Address - Phone:720-449-2499
Mailing Address - Fax:720-634-0719
Practice Address - Street 1:190 E 9TH AVE STE 350
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-2738
Practice Address - Country:US
Practice Address - Phone:720-449-2499
Practice Address - Fax:720-634-0719
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3334103TC0700X, 103TC1900X, 103TC0700X, 103TH0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling