Individual
DR. SUSAN NILETTE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
13400 SUTTON PARK DR S, SUITE 1504, JACKSONVILLE, FL 32224-0236
(904) 223-6414
(904) 223-6418
Mailing address
600 IRONWOOD DR, UNIT 635, PONTE VEDRA BEACH, FL 32082-5219
(904) 477-3124
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY7306
FL
103T00000X
Psychologist
PY 7306
FL
103TC0700X
Clinical Psychologist
PY 7306
FL
Other
Enumeration date
09/05/2006
Last updated
10/21/2011
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