Colleen Lam Nguyen, LMFT
Individual provider Active NPI Marriage & Family Therapist · Birlingame, CA
NPI 1255782835 · NPPES record last updated Feb 2, 2021
Key facts
- NPI
- 1255782835
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 93375 (CA)
- Practice address
- 1321 North Carolan Ave
Birlingame, CA 94010 - Phone
- (415) 763-8072
- NPI assigned
- Jun 25, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 93375 | CA | Yes |
Addresses
Primary practice location
1321 North Carolan Ave
Birlingame, CA 94010
Mailing address
63 Bovet Rd # 242
San Mateo, CA 94402-3104
Phone (415) 763-8072
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.