| Doctor Name: | DR. MELISSA DIANE YOUNG |
| NPI Number: | 1902952864 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHARM.D., CDE |
| License Number: | |
| Business Practice Address: | 3725 W 4100 S West Valley, UT - 841205530 |
| Business Phone Number: | 8019653639 |
| Business Fax Number: | 8019659641 |
| Mailing Address: | 3725 W 4100 S, WEST VALLEY |
| State: | UT |
| Postal Code: | 841205530 |
| Phone Number: | 8019653639 |
| Fax Number: | 8019659641 |
| NPI Enumeration Date: | 01/25/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133NN1002X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Nutritionist |
| Taxonomy Specialization: | Nutrition, Education |
| Taxonomy Definition: | |