Provider Demographics
NPI:1720129984
Name:BOARDMAN, THUY TRAN (PHD, MPH)
Entity type:Individual
Prefix:DR
First Name:THUY
Middle Name:TRAN
Last Name:BOARDMAN
Suffix:
Gender:F
Credentials:PHD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11578 TRADEWINDS BLVD
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33773-4416
Mailing Address - Country:US
Mailing Address - Phone:775-225-6421
Mailing Address - Fax:
Practice Address - Street 1:10801 STARKEY RD STE 215
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33777-1161
Practice Address - Country:US
Practice Address - Phone:352-353-7916
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2025-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1633103TC0700X
FL12708103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical