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Individual

DR. JASON WILEY YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
2435 LYNN RD., SUITE 200, RALEIGH, NC 27612
(919) 408-3212
(919) 408-3306
Mailing address
101 CLOISTER CT, SUITE E, CHAPEL HILL, NC 27514-2207
(919) 408-3212
(919) 408-3306

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3275
NC

Other

Enumeration date
03/05/2007
Last updated
07/08/2007
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