Provider Demographics
NPI:1932997772
Name:DAO, MI DIEM N
Entity type:Individual
Prefix:
First Name:MI DIEM
Middle Name:N
Last Name:DAO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MEI
Other - Middle Name:N
Other - Last Name:DAO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1721 SHERMAN ST APT A
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-2237
Mailing Address - Country:US
Mailing Address - Phone:510-518-8835
Mailing Address - Fax:
Practice Address - Street 1:1721 SHERMAN ST APT A
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-2237
Practice Address - Country:US
Practice Address - Phone:510-518-8835
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral