Individual
RONALD YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYCOLOGIST
Contact information
Practice address
124 MAIN ST, TOPSHAM, ME 04086-1221
(207) 449-6153
Mailing address
PO BOX 11, TOPSHAM, ME 04086-0011
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PS1138
ME
Other
Enumeration date
06/04/2006
Last updated
11/02/2007
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