Healthcare Provider Details

I. General information

NPI: 1770405482
Provider Name (Legal Business Name): LINH P LUU PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

U OF MEMPHIS COUNSELING CENTER 214 WILDER TOWER 3675 ALUMNI AVE
MEMPHIS TN
38152-0001
US

IV. Provider business mailing address

U OF MEMPHIS COUNSELING CENTER 214 WILDER TOWER 3675 ALUMNI AVE
MEMPHIS TN
38152-0001
US

V. Phone/Fax

Practice location:
  • Phone: 901-678-2068
  • Fax:
Mailing address:
  • Phone: 901-678-2068
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number3450
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: