Healthcare Provider Details

I. General information

NPI: 1942027271
Provider Name (Legal Business Name): JOY TUYET BUI PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2024
Last Update Date: 09/26/2024
Certification Date: 09/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 PRYTANIA ST STE 608
NEW ORLEANS LA
70115-8106
US

IV. Provider business mailing address

3525 PRYTANIA ST STE 608
NEW ORLEANS LA
70115-8106
US

V. Phone/Fax

Practice location:
  • Phone: 504-233-9006
  • Fax:
Mailing address:
  • Phone: 504-233-9006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number1727
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1727
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: