Provider Demographics
NPI:1700012226
Name:CHONG, UMI (PSYD)
Entity Type:Individual
Prefix:DR
First Name:UMI
Middle Name:
Last Name:CHONG
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 1:1320 19TH ST NW
Mailing Address - Street 2:SUITE #200
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-1610
Mailing Address - Country:US
Mailing Address - Phone:202-838-7793
Mailing Address - Fax:
Practice Address - Street 1:1320 19TH ST NW
Practice Address - Street 2:SUITE #200
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-1610
Practice Address - Country:US
Practice Address - Phone:202-838-7793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-10
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9434103TC0700X
DCPSY1000916103TC0700X
VA0810004855103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical