MEDICARE: MS. DUNG HUYNH MA, CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	230319708	CA
2	235Z00000X	Speech-Language Pathologist	114957	TX
3	235Z00000X	Speech-Language Pathologist	34773	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447997820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DUNG HUYNH MA, CCC-SLP

Provider Business Mailing Address
First Line	:	215 UNION AVE APT 327
Second Line	:
City	:	CAMPBELL
State	:	CA
Zip	:	95008-3518
Country	:	US
Telephone Number	:	713-423-5056
Fax Number	:

Provider Business Practice Location Address
First Line	:	5140 COUNTRY LN
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95129-4217
Country	:	US
Telephone Number	:	408-874-3450
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2022
Last Update Date	:	02/26/2024

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Directions to “ MS. DUNG HUYNH MA, CCC-SLP” Practice Location

Language	Start Address	Practice Location

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