Sally S. Young Phd, Professional Corporation in Burlington - Clinical

Sally S. Young Phd, Professional Corporation - NPI 1619050143

Sally S. Young Phd, Professional Corporation is a Clinical in Burlington, Vermont. Sally S. Young Phd, Professional Corporation practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sally S. Young Phd, Professional Corporation is 1619050143. The last update date is 2011-03-07.

Sally S. Young Phd, Professional Corporation's current location address is Po Box 626, Burlington, Vermont. You can contact this provider via phone number 8028622773 and fax number 8028626496. The mailing address for Sally S. Young Phd, Professional Corporation is Po Box 626, Burlington, Vermont. To know further, please read the information below!

Provider Profile Detail

Provider Organization Sally S. Young Phd, Professional Corporation
Address Po Box 626, Burlington, Vermont
Phone Number 8028622773
Fax Number 8028626496
Sole Proprietor --
Credentials --

Authorized Official

Title or Position LICENSED P
Authorized Official Name Young Serrell Sally
Credentials PHD
Telephone Number 8028622773

NPI Number Detail

NPI Number 1619050143
Provider Enumeration Date 2006-10-20
Last Updated Date 2011-03-07

Provider Mailing Address Detail

Address Po Box 626
City Burlington
State Vermont (VT)
Post Code 54020626
Phone Number 8028622773
Fax Number 8028626496

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 480000178
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8363 VT PTAN
VT6583 VT --

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FAQs about Sally S. Young Phd, Professional Corporation

What is the unique 10-digit identification code assigned to Sally S. Young Phd, Professional Corporation by the Centers for Medicare & Medicaid Services?

The Sally S. Young Phd, Professional Corporation has been issued the NPI (National Provider Identifier) 1619050143, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Sally S. Young Phd, Professional Corporation is physically located?

The Sally S. Young Phd, Professional Corporation is situated at the following address: Po Box 626, Burlington, VT 54020626.

What is the area of specialization for Sally S. Young Phd, Professional Corporation, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Sally S. Young Phd, Professional Corporation is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.

On what date did the Sally S. Young Phd, Professional Corporation receive its 1619050143 assignment from the Centers for Medicare & Medicaid Services?

The Sally S. Young Phd, Professional Corporation was assigned its 1619050143 by the Centers for Medicare & Medicaid Services on 2006-10-20.

When was the information regarding Sally S. Young Phd, Professional Corporation, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Sally S. Young Phd, Professional Corporation, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-03-07.

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