Healthcare Provider Details

I. General information

NPI: 1417878505
Provider Name (Legal Business Name): YVONNE LUNG LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 DAVIDSON AVE STE 306
SOMERSET NJ
08873-4144
US

IV. Provider business mailing address

85 CHELSEA CT
FRANKLIN PARK NJ
08823-1504
US

V. Phone/Fax

Practice location:
  • Phone: 732-997-0707
  • Fax:
Mailing address:
  • Phone: 732-662-8297
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number37PC01284300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: