| Annie H. Nguyen Psyd Llc | |
|
40 Aulike St Suite 411 Kailua HI 96734-2758 | |
| (808) 381-1838 | |
| (808) 261-8269 |
| Full Name | Annie H. Nguyen Psyd Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 40 Aulike St, Kailua, Hawaii |
| Authorized Official Name and Position | Annie H Nguyen (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8083811838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Annie H. Nguyen Psyd Llc Po Box 640 Kailua HI 96734-0640 Ph: (808) 381-1838 | Annie H. Nguyen Psyd Llc 40 Aulike St Suite 411 Kailua HI 96734-2758 Ph: (808) 381-1838 |
| NPI Number | 1205207305 |
|---|---|
| Provider Enumeration Date | 10/14/2015 |
| Last Update Date | 10/14/2015 |
| Medicare PECOS PAC ID | 8123419371 |
|---|---|
| Medicare Enrollment ID | O20211222001229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205207305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | PSY 1365 (Hawaii) | Primary |
| Provider Name | Annie Nguyen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437387065 PECOS PAC ID: 3779728654 Enrollment ID: I20130325000395 |
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