Individual
MR. LARRY D. YOUNG
Active
Individual
MR. LARRY D. YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LIC. PSYCHOLOGIST
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
764
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100586
UNITED BEHAVIORAL HEALTH
NC
01
—
2063642
CIGNA BEHAVIORAL HEALTH
NC
01
—
4827
BCBS OF NC
NC
05
—
6000734
—
NC
01
—
60525
MEDCOST
NC
Enumeration date
03/25/2006
Last updated
02/18/2014
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