Individual
DR. SALLY SERRELL YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
86 LAKE ST, OFFICE 307, BURLINGTON, VT 05401-5297
(802) 862-2773
Mailing address
28 N WILLIAMS ST, BURLINGTON, VT 05401-3304
(802) 862-2773
(802) 862-6496
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
480000178
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VT6583
—
VT
Enumeration date
05/10/2007
Last updated
03/07/2011
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