Provider Demographics
NPI:1760207732
Name:TRUEX CHUNG, ERICA (MA, CAS)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:TRUEX CHUNG
Suffix:
Gender:F
Credentials:MA, CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1459 SYKESVILLE RD
Mailing Address - Street 2:
Mailing Address - City:SYKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21784-5430
Mailing Address - Country:US
Mailing Address - Phone:410-908-4904
Mailing Address - Fax:
Practice Address - Street 1:1459 SYKESVILLE RD
Practice Address - Street 2:
Practice Address - City:SYKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21784-5430
Practice Address - Country:US
Practice Address - Phone:410-908-4904
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-15
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool