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Organization

NANCY D YOUNG PHD

Active
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Organization

NANCY D YOUNG PHD

Active
Other names
Pathways to Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHENIE CHAMPLIN BA (EXECUTIVE ASSISTANT &OFFICE MANAGER)
(714) 432-9856
Entity
Organization

Contact information

Practice address
2845 MESA VERDE DR E, SUITE 8, COSTA MESA, CA 92626-4858
(714) 432-9856
(714) 432-7075
Mailing address
2845 MESA VERDE DR E, SUITE 8, COSTA MESA, CA 92626-4858
(714) 432-9856
(714) 432-7075

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 11961
CA
103TC0700X
Clinical Psychologist
PSY 20804
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1205862224
NPI FOR NANCY D YOUNG PHD
CA
01
1396787156
NPI FOR JUDY FLUOR RUNELS
CA
Enumeration date
06/08/2007
Last updated
09/18/2007
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