Individual
SARA M YOUNGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY. D., LP
Contact information
Practice address
1100 GLENWOOD AVE, MINNEAPOLIS, MN 55405-1430
(612) 872-3333
Mailing address
1100 GLENWOOD AVE, MINNEAPOLIS, MN 55405-1430
(612) 872-3333
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP4876
MN
103TC0700X
Clinical Psychologist
Primary
LP4876
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740463637
NPI
MN
Enumeration date
12/13/2007
Last updated
12/04/2014
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