Individual
JEFFREY YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 CONSTITUTION AVE NE STE C, ALBUQUERQUE, NM 87106-1243
(505) 933-0317
Mailing address
5208 RIDGE ROCK AVE NW, ALBUQUERQUE, NM 87114-4191
(505) 933-0317
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
NM
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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