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Organization

YOUNG & BROVET, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JASON WILEY YOUNG PSYD. (MANAGING PARTNER/PSYCHOLOGIST)
(919) 741-1972
Entity
Organization

Contact information

Practice address
2435 LYNN RD STE 200, RALEIGH, NC 27612-6756
(919) 741-1972
(919) 845-4714
Mailing address
2435 LYNN RD STE 200, RALEIGH, NC 27612-6756
(919) 741-1972
(919) 845-4714

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3275
NC
106H00000X
Marriage & Family Therapist
911
NC

Other

Enumeration date
05/04/2011
Last updated
05/04/2011
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