Susan N Young Inc in Jacksonville - Clinical Neuropsychologist
Susan N Young Inc - NPI 1770788390
Susan N Young Inc is a Clinical Neuropsychologist in Jacksonville, Florida. Susan N Young Inc practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Susan N Young Inc is 1770788390. The last update date is 2011-10-17.
Susan N Young Inc's current location address is 13400 Sutton Park Dr S, Jacksonville, Florida. You can contact this provider via phone number 9042236414 and fax number 9042236418. The mailing address for Susan N Young Inc is 13400 Sutton Park Dr S, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Susan N Young Inc |
|---|---|
| Address | 13400 Sutton Park Dr S, Jacksonville, Florida |
| Phone Number | 9042236414 |
| Fax Number | 9042236418 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Young N Susan |
| Credentials | PSY. D. |
| Telephone Number | 9042236414 |
NPI Number Detail
| NPI Number | 1770788390 |
|---|---|
| Provider Enumeration Date | 2007-06-15 |
| Last Updated Date | 2011-10-17 |
Provider Mailing Address Detail
| Address | 13400 Sutton Park Dr S |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322240236 |
| Phone Number | 9042236414 |
| Fax Number | 9042236418 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | PY7306 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| AF756 | FL | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Susan N Young Inc by the Centers for Medicare & Medicaid Services?
The Susan N Young Inc has been issued the NPI (National Provider Identifier) 1770788390 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Susan N Young Inc located?
The Susan N Young Inc is located at 13400 Sutton Park Dr S, Jacksonville, FL 322240236.
What is Susan N Young Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Susan N Young Inc is Clinical Neuropsychologist, and the taxonomy code that classifies this field of practice is 103G00000X.
On what date did the Susan N Young Inc receive its 1770788390 assignment from the Centers for Medicare & Medicaid Services?
The Susan N Young Inc was assigned its 1770788390 by the Centers for Medicare & Medicaid Services on 2007-06-15.
When was the information regarding Susan N Young Inc most recently updated?
The details pertaining to the Susan N Young Inc, including its address, specialty, and other relevant information, were last refreshed on 2011-10-17.