Provider Demographics
NPI:1215477641
Name:XIONG, TOUNEY T
Entity type:Individual
Prefix:MR
First Name:TOUNEY
Middle Name:T
Last Name:XIONG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7322 LAKELAND AVE N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55428-1228
Mailing Address - Country:US
Mailing Address - Phone:763-999-4788
Mailing Address - Fax:763-999-4789
Practice Address - Street 1:7322 LAKELAND AVE N
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55428-1228
Practice Address - Country:US
Practice Address - Phone:763-999-4788
Practice Address - Fax:763-999-4789
Is Sole Proprietor?:No
Enumeration Date:2017-03-04
Last Update Date:2017-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1081612-1-ADC103TA0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1081612-1-ADCOtherADULT DAY CARE CENTER