MEDICARE: DR. QUYEN BICH NGUYEN PH.D.

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	103TC0700X	Clinical Psychologist	1305	HI
2	103TC0700X	Clinical Psychologist	PY60967801	WA
3	103TH0004X	Health Psychologist	PY60967801	WA
4	103TH0004X	Health Psychologist	1305	HI

General Provider Information

NPI Number	:	1740541945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. QUYEN BICH NGUYEN PH.D.

Provider Business Mailing Address
First Line	:	4301 S PINE ST STE 30-07
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98409-9123
Country	:	US
Telephone Number	:	253-785-9367
Fax Number	:	253-281-4026

Provider Business Practice Location Address
First Line	:	4301 S PINE ST STE 30-07
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98409-9123
Country	:	US
Telephone Number	:	253-785-9367
Fax Number	:	253-281-4026

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

Provider Enumeration Date	:	06/04/2012
Last Update Date	:	02/17/2026

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