Provider Demographics
NPI:1225918444
Name:PREDA, DANA NGUYEN (PHD)
Entity type:Individual
Prefix:DR
First Name:DANA
Middle Name:NGUYEN
Last Name:PREDA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:DANA
Other - Middle Name:
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:6739 E KENTUCKY AVE
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92807-5023
Mailing Address - Country:US
Mailing Address - Phone:714-614-8773
Mailing Address - Fax:
Practice Address - Street 1:1370 BREA BLVD STE 210
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835-4128
Practice Address - Country:US
Practice Address - Phone:714-614-8773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY34776103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical