Individual
JUDY D YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
154 DUCHESS AVE, NEWPORT, VT 05855-0724
(802) 334-7451
(802) 334-7340
Mailing address
PO BOX 139, 1311 HEIGHTS RD, GLOVER, VT 05839
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
047-0000714
VT
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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