Individual
WILLIAM R YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICENSED PSYCHOLOGIS
Contact information
Practice address
150 W DUBOIS AVE, SUITE H, DU BOIS, PA 15801-3000
(814) 371-0794
(814) 371-6733
Mailing address
150 W DUBOIS AVE, SUITE H, DU BOIS, PA 15801-3000
(814) 371-0794
(814) 371-6733
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS003513L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
348937
BCBS
—
01
—
603171
BCBS
PA
Enumeration date
09/20/2006
Last updated
02/11/2008
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