Individual
DR. CAROLYN HEIER YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
11260 ROGER BACON DR STE 204, RESTON, VA 20190-5252
(703) 804-0123
Mailing address
11260 ROGER BACON DR STE 204, RESTON, VA 20190-5252
(703) 804-0123
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY20218
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHMC115
MEDI-CAL STAFF CODE
CA
Enumeration date
01/25/2007
Last updated
02/18/2025
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