Doctor Name: | CUONG TIEU |
NPI Number: | 1245304716 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | N1475 |
Business Practice Address: | 34700 Valley Rd Oconomowoc, WI - 530664500 |
Business Phone Number: | 2626461391 |
Business Fax Number: | 2626461393 |
Mailing Address: | 34700 Valley Rd, OCONOMOWOC |
State: | WI |
Postal Code: | 530664500 |
Phone Number: | 2626461391 |
Fax Number: | 2626461393 |
NPI Enumeration Date: | 11/17/2006 |
NPI Last Update Date: | 08/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0804X |
License Number: | N1475 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Child & Adolescent Psychiatry |
Taxonomy Definition: | Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |