Doctor Name: | MATTHEW NICHOLAS YOUNT |
NPI Number: | 1174772180 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 2402-C |
Business Practice Address: | 318 E Poplar St Piggott, AR - 72454 |
Business Phone Number: | 8705981122 |
Business Fax Number: | |
Mailing Address: | 7101 Hwy 62, POLLARD |
State: | AR |
Postal Code: | 72456 |
Phone Number: | 8704504147 |
Fax Number: | |
NPI Enumeration Date: | 09/15/2008 |
NPI Last Update Date: | 09/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 2402-C |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |