Provider Demographics
NPI:1912135591
Name:WU, LING (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LING
Middle Name:
Last Name:WU
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 1:9357 BARRINGTON CT
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-7695
Mailing Address - Country:US
Mailing Address - Phone:240-285-0047
Mailing Address - Fax:
Practice Address - Street 1:15807 CRABBS BRANCH WAY STE A
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20855-6643
Practice Address - Country:US
Practice Address - Phone:240-285-0047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-23
Last Update Date:2015-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04539103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist