Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 35S100383200 | NJ |
N | 103TC0700X | Clinical Psychologist | 35S100383200 | NJ |
Y | 103G00000X | Clinical Psychologist | PS007982-L | PA |
Y | 103TC0700X | Clinical Psychologist | PS007982-L | PA |
NPI | 1003039785 |
---|---|
Provider Name | Dr. David M Young |
First Address | Yardley, PA 19067-5528 |
Second Address | Yardley, PA 19067-5528 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00164439 | MAGELLAN (01) | PA |
0812004000 | AMERIHEALTH (01) | PA |
281185 | MHN (01) | PA |
7775476 | AETNA (01) | PA |
787078 | BLUESHIELD (01) | PA |
S04946 | (02) | PA |