Provider Demographics
NPI:1861566796
Name:NGUYEN, PHUONG GIA HOANG
Entity type:Individual
Prefix:MS
First Name:PHUONG
Middle Name:GIA HOANG
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:LIEN-PHUONG
Other - Middle Name:GIA HOANG
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2437 EPSTEIN CT
Mailing Address - Street 2:
Mailing Address - City:BROOKEVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20833-3280
Mailing Address - Country:US
Mailing Address - Phone:646-422-9958
Mailing Address - Fax:
Practice Address - Street 1:2437 EPSTEIN CT
Practice Address - Street 2:
Practice Address - City:BROOKEVILLE
Practice Address - State:MD
Practice Address - Zip Code:20833-3280
Practice Address - Country:US
Practice Address - Phone:646-422-9958
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical