Individual
BETHANY YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
59 MDW, 1100 WILFORD HALL LOOP BLDG. 4554, JBSA-LACKLAND, TX 78236
(850) 283-7511
Mailing address
59 MDW, 1100 WILFORD HALL LOOP BLDG. 4554, JBSA-LACKLAND, TX 78236
(210) 292-1602
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
06741
MD
Other
Enumeration date
04/24/2019
Last updated
11/26/2024
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