Provider Demographics
NPI:1851931943
Name:DANCAY-BYNOE, HADJA
Entity Type:Individual
Prefix:
First Name:HADJA
Middle Name:
Last Name:DANCAY-BYNOE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:819 REECE ROAD
Mailing Address - Street 2:PO BOX 671
Mailing Address - City:SEVERN
Mailing Address - State:MD
Mailing Address - Zip Code:21144-3723
Mailing Address - Country:US
Mailing Address - Phone:301-960-8462
Mailing Address - Fax:
Practice Address - Street 1:7855 CROSSBAY DR
Practice Address - Street 2:
Practice Address - City:SEVERN
Practice Address - State:MD
Practice Address - Zip Code:21144-1661
Practice Address - Country:US
Practice Address - Phone:301-960-8462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-07
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC10178101YP2500X
MDLGP6282101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty