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Individual

MR. LARRY D. YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LIC. PSYCHOLOGIST

Contact information

Practice address
1208 EASTCHESTER DR, SUITE 200, HIGH POINT, NC 27265-3170
(336) 802-2536
(336) 802-2534
Mailing address
1701 WESTCHESTER DR, STE 850, HIGH POINT, NC 27262-7254
(336) 802-2536
(336) 802-2534

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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