Individual
VIVIANNE L TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1949 SUGARLAND DR STE 180, SHERIDAN, WY 82801-5720
(307) 655-5510
Mailing address
1949 SUGARLAND DR STE 180, SHERIDAN, WY 82801-5720
(307) 679-9057
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
475
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
475
WYOMING LICENSE
WY
Enumeration date
06/05/2009
Last updated
09/08/2022
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