| Doctor Name: | DR. CARLENE YOUNG |
| NPI Number: | 1023205812 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | EDD PHD |
| License Number: | PSY7380 |
| Business Practice Address: | 1550 S Winchester Blvd Suite 216 Campbell, CA - 950080553 |
| Business Phone Number: | 4083741884 |
| Business Fax Number: | 4089260916 |
| Mailing Address: | 1550 S Winchester Blvd, Suite 216 CAMPBELL |
| State: | CA |
| Postal Code: | 950080553 |
| Phone Number: | 4083741884 |
| Fax Number: | 4089260916 |
| NPI Enumeration Date: | 09/26/2007 |
| NPI Last Update Date: | 02/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | PSY7380 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |