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Individual
WILLIAM BERNARD YOUNG
Active
Individual
WILLIAM BERNARD YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY9978
CA
103TP0814X
Psychoanalysis Psychologist
PSY9978
CA
103TP2701X
Group Psychotherapy Psychologist
PSY9978
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00PL99780
BLUE SHIELD
CA
01
—
PSY099780
MEDICAL
CA
Enumeration date
09/25/2006
Last updated
01/28/2021
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