Individual
CRAIG DOUGLAS YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-7000
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
474
SC
103T00000X
Psychologist
474
SC
103TB0200X
Cognitive & Behavioral Psychologist
474
SC
103TC0700X
Clinical Psychologist
474
SC
103TH0100X
Health Service Psychologist
474
SC
103TP2701X
Group Psychotherapy Psychologist
474
SC
103TR0400X
Rehabilitation Psychologist
474
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PS0263
—
SC
Enumeration date
01/18/2007
Last updated
03/15/2024
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