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Individual

DR. VALENCIA L BAGBY-YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
EDD PSYCHOLOGY

Contact information

Practice address
41 N MAIN ST STE 302, WEST HARTFORD, CT 06107-1929
(860) 236-7333
(203) 439-2087
Mailing address
31 BURNWOOD DRIVE, BLOOMFIELD, CT 06002-2264
(860) 604-6914
(860) 242-1811

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
003280
CT
103TC1900X
Counseling Psychologist
003280
CT
103TP2701X
Group Psychotherapy Psychologist
003280
CT
363LF0000X
Family Nurse Practitioner
Primary
7986
CT

Other

Enumeration date
09/11/2013
Last updated
07/03/2019
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