Doctor Name: | MINH-THU THI LE |
NPI Number: | 1073542791 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | PSY 15571 |
Business Practice Address: | 8635 W 3rd St Suite 685w Los Angeles, CA - 900486101 |
Business Phone Number: | 3108691050 |
Business Fax Number: | 7143790187 |
Mailing Address: | 16787 Beach Blvd, #711 HUNTINGTON BEACH |
State: | CA |
Postal Code: | 926474848 |
Phone Number: | 3108691050 |
Fax Number: | 7143790187 |
NPI Enumeration Date: | 07/03/2006 |
NPI Last Update Date: | 01/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | PSY 15571 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |