Individual
DR. MARIELLA M YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
6137 EXECUTIVE BLVD, ROCKVILLE, MD 20852-3901
(301) 770-9601
(301) 770-9540
Mailing address
6137 EXECUTIVE BLVD, ROCKVILLE, MD 20852-3901
(301) 770-9601
(301) 770-9540
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
0104555714
VA
111N00000X
Chiropractor
01979
MD
111NN0400X
Neurology Chiropractor
0104555714
VA
111NN0400X
Neurology Chiropractor
01979
MD
111NR0400X
Rehabilitation Chiropractor
0104555714
VA
111NR0400X
Rehabilitation Chiropractor
Primary
01979
MD
111NS0005X
Sports Physician Chiropractor
0104555714
VA
111NS0005X
Sports Physician Chiropractor
01979
MD
111NX0100X
Occupational Health Chiropractor
0104555714
VA
111NX0100X
Occupational Health Chiropractor
01979
MD
111NX0800X
Orthopedic Chiropractor
0104555714
VA
111NX0800X
Orthopedic Chiropractor
01979
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10419449
CAQH
MD
01
—
478024
MAMSI
MD
01
—
617767
UNITED HEALTHCARE
MD
01
—
F759-0001
BCBS
DC
01
—
M655-0001
BCBS
MD
Enumeration date
05/25/2007
Last updated
03/03/2008
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