Provider Demographics
NPI:1386208569
Name:TRINH, THAO-CHAU THUY (MS, PSYD)
Entity type:Individual
Prefix:DR
First Name:THAO-CHAU
Middle Name:THUY
Last Name:TRINH
Suffix:
Gender:
Credentials:MS, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 53RD ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-1814
Mailing Address - Country:US
Mailing Address - Phone:510-428-8428
Mailing Address - Fax:
Practice Address - Street 1:770 53RD ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-1814
Practice Address - Country:US
Practice Address - Phone:510-428-8428
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 390200000X
CAPSY34866103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent