Provider Demographics
NPI:1164895843
Name:LING L WU PSYD LLC
Entity Type:Organization
Organization Name:LING L WU PSYD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LING
Authorized Official - Middle Name:L
Authorized Official - Last Name:WU
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:240-285-0047
Mailing Address - Street 1:9357 BARRINGTON CT
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-7695
Mailing Address - Country:US
Mailing Address - Phone:240-285-0047
Mailing Address - Fax:301-668-3706
Practice Address - Street 1:15807 CRABBS BRANCH WAY STE A
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20855-6643
Practice Address - Country:US
Practice Address - Phone:240-285-0047
Practice Address - Fax:301-668-3706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-03
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04539103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty