Provider Demographics
NPI:1871301481
Name:TRUONG, CHRISTINE (PSYD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:
Last Name:TRUONG
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 SUNNY MEADOW CT APT 302
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-5119
Mailing Address - Country:US
Mailing Address - Phone:949-910-6429
Mailing Address - Fax:
Practice Address - Street 1:2 SUNNY MEADOW CT APT 302
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-5119
Practice Address - Country:US
Practice Address - Phone:949-910-6429
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-28
Last Update Date:2024-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07218103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist