| Doctor Name: | SHANNON D YOUNG |
| NPI Number: | 1184944316 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSWI |
| License Number: | |
| Business Practice Address: | 194 S Main St Pleasant Grove, UT - 840622631 |
| Business Phone Number: | 8017851169 |
| Business Fax Number: | 8017851154 |
| Mailing Address: | 194 S Main St, PLEASANT GROVE |
| State: | UT |
| Postal Code: | 840622631 |
| Phone Number: | 8017851169 |
| Fax Number: | 8017851154 |
| NPI Enumeration Date: | 06/10/2010 |
| NPI Last Update Date: | 06/10/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041S0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |