Provider Demographics
NPI:1841759347
Name:DANG, MY TRINH H (SLP)
Entity type:Individual
Prefix:MISS
First Name:MY TRINH
Middle Name:H
Last Name:DANG
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:287 WATERLOU CT
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-4848
Mailing Address - Country:US
Mailing Address - Phone:714-334-2673
Mailing Address - Fax:
Practice Address - Street 1:287 WATERLOU CT
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-4848
Practice Address - Country:US
Practice Address - Phone:714-334-2673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-14
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL014584235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist