Individual
NATHANIEL DEYOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1700 E 38TH ST, MARION, IN 46953-4568
(765) 251-5625
Mailing address
1970 ROANOKE BLVD, MHSL 116B, SALEM, VA 24153-6404
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
Primary
0810005147
VA
Other
Enumeration date
06/15/2015
Last updated
08/23/2021
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