Provider Demographics
NPI:1033829957
Name:BIN WUNG, VALENTINE
Entity Type:Individual
Prefix:
First Name:VALENTINE
Middle Name:
Last Name:BIN WUNG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3996 WARNER AVE APT A6
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20784-2001
Mailing Address - Country:US
Mailing Address - Phone:202-597-3644
Mailing Address - Fax:
Practice Address - Street 1:3996 WARNER AVE APT A6
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20784-2001
Practice Address - Country:US
Practice Address - Phone:202-597-3644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-01
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health