Doctor Name: | MRS. DOMINIQUE J STEVENS-YOUNG |
NPI Number: | 1790821379 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW |
License Number: | CW015959 |
Business Practice Address: | 9816 Frankstown Rd Penn Hills, PA - 152351654 |
Business Phone Number: | 4125837892 |
Business Fax Number: | 4126924058 |
Mailing Address: | 371 Dorothy Dr, PENN HILLS |
State: | PA |
Postal Code: | 152351831 |
Phone Number: | 4125837892 |
Fax Number: | 4122415509 |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 08/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW015959 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |