Healthcare Provider Details

I. General information

NPI: 1952078149
Provider Name (Legal Business Name): QUYNH-NHU DOAN WELLONS PH.D, LP, NCSP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2021
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 HUNGERFORD DR STE 225
ROCKVILLE MD
20850-1718
US

IV. Provider business mailing address

3274 ROYAL FERN PL
ROCKVILLE MD
20852-1091
US

V. Phone/Fax

Practice location:
  • Phone: 678-467-0444
  • Fax:
Mailing address:
  • Phone: 678-467-0444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: