Provider Demographics
NPI:1922242239
Name:ZONG, WUYING
Entity Type:Individual
Prefix:
First Name:WUYING
Middle Name:
Last Name:ZONG
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 1:1270 POLO RD APT 817
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29223-8161
Mailing Address - Country:US
Mailing Address - Phone:615-483-6769
Mailing Address - Fax:803-335-3921
Practice Address - Street 1:1270 POLO RD APT 817
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-8161
Practice Address - Country:US
Practice Address - Phone:615-483-6769
Practice Address - Fax:803-335-3921
Is Sole Proprietor?:No
Enumeration Date:2009-04-30
Last Update Date:2009-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCMRW150103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst