| Doctor Name: | KIM THI NGUYEN |
| NPI Number: | 1104053941 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | SP19085 |
| Business Practice Address: | 838 14th St San Francisco, CA - 941141104 |
| Business Phone Number: | 5129400117 |
| Business Fax Number: | |
| Mailing Address: | 1161 Hayes, SAN FRANCISCO |
| State: | CA |
| Postal Code: | 94117 |
| Phone Number: | 5129400117 |
| Fax Number: | |
| NPI Enumeration Date: | 06/19/2009 |
| NPI Last Update Date: | 09/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP19085 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |