Individual
ELEANOR YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
600 E GENESEE ST, 217, SYRACUSE, NY 13202-3130
(315) 422-0300
(315) 479-8455
Mailing address
600 E GENESEE ST, 217, SYRACUSE, NY 13202-3130
(315) 422-0300
(315) 479-8455
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
006137-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01691776
—
NY
Enumeration date
10/25/2006
Last updated
07/08/2007
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