Sa, Mary Young
Sa, Mary Young is an individual health care provider with primary practice located at 61 Lincoln St Ste 309 , Framingham MA 01702-8264. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Prescribing (Medical), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Sa, Mary Young can be contacted via phone (612) 655-3942.Contact Information
Primary practice address
61 Lincoln St Ste 309
Framingham MA 01702-8264
Phone: (612) 655-3942
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Prescribing (Medical) | 103TP0016X | PSY-RXC0068 | New Mexico |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 10871 | Massachusetts |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1527 | New Mexico |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP4378 | Minnesota |
Profile Details
NPI number | 1912095761 |
---|---|
LBN Legal business name | Sa, Mary Young |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 10th, 2006 |
Last updated | Jan 7th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912095761 | NPPES |
Minnesota | MEDICAID | 438527600 |
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