Provider Demographics
NPI:1992730865
Name:TRAN, CAROLEE GIAOUYEN (PHD)
Entity type:Individual
Prefix:DR
First Name:CAROLEE
Middle Name:GIAOUYEN
Last Name:TRAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 Q ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95814-5805
Mailing Address - Country:US
Mailing Address - Phone:916-448-1478
Mailing Address - Fax:916-497-0120
Practice Address - Street 1:1330 Q ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95814-5805
Practice Address - Country:US
Practice Address - Phone:916-448-1478
Practice Address - Fax:916-497-0120
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY17641103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical