Provider Demographics
NPI:1609678317
Name:KUMBONG, DELPHINE ZHIA
Entity type:Individual
Prefix:
First Name:DELPHINE
Middle Name:ZHIA
Last Name:KUMBONG
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 HARRY S TRUMAN DR
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-1025
Mailing Address - Country:US
Mailing Address - Phone:240-476-3964
Mailing Address - Fax:
Practice Address - Street 1:123 HARRY S TRUMAN DR
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-1025
Practice Address - Country:US
Practice Address - Phone:240-476-3964
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker