Doctor Name: | AMY B. YOUNG |
NPI Number: | 1053537530 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | PC000377 |
Business Practice Address: | 280 N Providence Rd Suite 106 Media, PA - 190633527 |
Business Phone Number: | 6105291875 |
Business Fax Number: | 6105655874 |
Mailing Address: | 280 N Providence Rd, Suite 106 MEDIA |
State: | PA |
Postal Code: | 190633527 |
Phone Number: | 6105291875 |
Fax Number: | 6105655874 |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 02/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC000377 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |