Individual
DR. TERESA ANNE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1520 OLD HENDERSON RD STE E, COLUMBUS, OH 43220
(614) 328-9528
(614) 591-3015
Mailing address
855 EBNER ST, COLUMBUS, OH 43206-2361
(614) 328-9528
(614) 591-3015
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P.07947
OH
103TH0100X
Health Service Psychologist
088250
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/26/2010
Last updated
07/21/2022
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