Provider Demographics
NPI:1114792926
Name:LEONG, YUNG-MEI (PHD)
Entity type:Individual
Prefix:
First Name:YUNG-MEI
Middle Name:
Last Name:LEONG
Suffix:
Gender:
Credentials:PHD
Other - Prefix:
Other - First Name:YUNG
Other - Middle Name:MEI
Other - Last Name:LEONG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 60
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20738-0060
Mailing Address - Country:US
Mailing Address - Phone:240-643-6509
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 60
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20738-0060
Practice Address - Country:US
Practice Address - Phone:240-643-6509
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-21
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04393103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical