Provider Demographics
NPI:1811752611
Name:LUI, GERALD THOMAS (PHD)
Entity type:Individual
Prefix:DR
First Name:GERALD
Middle Name:THOMAS
Last Name:LUI
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4414 MUNCASTER MILL RD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20853-1433
Mailing Address - Country:US
Mailing Address - Phone:202-735-1870
Mailing Address - Fax:
Practice Address - Street 1:4414 MUNCASTER MILL RD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20853-1433
Practice Address - Country:US
Practice Address - Phone:202-735-1870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-20
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP14460101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional