Doctor Name: | LEICHENA M YOUNG |
NPI Number: | 1972776235 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 44SC05345200 |
Business Practice Address: | 3458 Neely Rd Mc Guire Afb, NJ - 086415312 |
Business Phone Number: | 2153597456 |
Business Fax Number: | 6095719319 |
Mailing Address: | 3458 Neely Rd, MC GUIRE AFB |
State: | NJ |
Postal Code: | 086415312 |
Phone Number: | 2153597456 |
Fax Number: | 6095719319 |
NPI Enumeration Date: | 04/08/2008 |
NPI Last Update Date: | 06/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC05345200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |