Sally S. Young Phd, Professional Corporation
LBN: Sally S. Young Phd, Professional Corporation
Sally S. Young Phd, Professional Corporation is an health care organization with primary practice located at 86 Lake St Office 307, Burlington VT 05401-5297. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty.
Sally S. Young Phd, Professional Corporation can be contacted via phone (802) 862-2773, or through Young, Sally Serrell via phone (802) 862-2773.
Contact Information
Primary practice address
86 Lake St Office 307
Burlington VT 05401-5297
Phone: (802) 862-2773
Fax: (802) 862-6496
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 480000178 | Vermont |
Profile Details
| NPI number | 1619050143 |
|---|---|
| LBN Legal business name | Sally S. Young Phd, Professional Corporation |
| DBA Doing business as | |
| Authorized official | Young, Sally Serrell PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 20th, 2006 |
| Last updated | Mar 7th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619050143 | NPPES |
| Vermont | Other | 0008363 | PTAN |
| Vermont | MEDICAID | VT6583 | PTAN |
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