Healthcare Provider Details

I. General information

NPI: 1720902570
Provider Name (Legal Business Name): TRAN TRAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL CENTER DR UNIT 305
LEBANON NH
03756-0001
US

IV. Provider business mailing address

56 ALTA BLVD UNIT 305
LEBANON NH
03766-3405
US

V. Phone/Fax

Practice location:
  • Phone: 603-650-5269
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: