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Phuonguyen Vu Chu, Psych Assistant

Student in an Organized Health Care Education/Training Program in Cleveland, OH. Individual provider (NPI-1).

NPI number1093554693
StatusActive
Last updated in NPPESSep 3, 2024

Details

NPI
1093554693
Entity type
Individual (NPI-1)
Name
Phuonguyen Vu Chu
Credential
Psych Assistant
Sex
Female
Sole proprietor
Yes
Enumeration date
May 22, 2024
Certification date
Sep 3, 2024
Last updated
Sep 3, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

3518 W 25th St
Cleveland, OH 44109-1951

Phone 216-865-1860

Mailing address

3518 W 25th St
Cleveland, OH 44109-1951

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Student in an Organized Health Care Education/Training Program providers in Cleveland, OH

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