Healthcare Provider Details

I. General information

NPI: 1871393462
Provider Name (Legal Business Name): MAY THIEN NGUYEN MS, LEP, NCSP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2025
Last Update Date: 03/14/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1972 THE ALAMEDA
SAN JOSE CA
95126-1432
US

IV. Provider business mailing address

1972 THE ALAMEDA
SAN JOSE CA
95126-1432
US

V. Phone/Fax

Practice location:
  • Phone: 408-766-2547
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number4057
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: