Doctor Name: | DR. LUCIA PATAT YOUNG |
NPI Number: | 1063575876 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | CC1729 |
Business Practice Address: | 114 State St Ellsworth, ME - 046051831 |
Business Phone Number: | 2076674334 |
Business Fax Number: | |
Mailing Address: | 114 State St, ELLSWORTH |
State: | ME |
Postal Code: | 046051831 |
Phone Number: | 2076674334 |
Fax Number: | |
NPI Enumeration Date: | 12/19/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | CC1729 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |