Provider Demographics
NPI:1720851017
Name:BYNUM, JOCELYN THERESA
Entity Type:Individual
Prefix:
First Name:JOCELYN
Middle Name:THERESA
Last Name:BYNUM
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 1:414 WEBSTER ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-7312
Mailing Address - Country:US
Mailing Address - Phone:202-680-8754
Mailing Address - Fax:
Practice Address - Street 1:414 WEBSTER ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-7312
Practice Address - Country:US
Practice Address - Phone:202-680-8754
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool