Provider Demographics
NPI:1265394605
Name:HOUNDJO, GUY LANDRY
Entity type:Individual
Prefix:
First Name:GUY
Middle Name:LANDRY
Last Name:HOUNDJO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7977 RIGGS RD
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20783-4582
Mailing Address - Country:US
Mailing Address - Phone:507-589-5034
Mailing Address - Fax:
Practice Address - Street 1:7977 RIGGS RD APT 6
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20783-4582
Practice Address - Country:US
Practice Address - Phone:507-589-5034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-24
Last Update Date:2025-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator