Stevens-Young, Dominique J
Stevens-Young, Dominique J is an sole proprietor health care provider with primary practice located at 371 Dorothy Dr , Penn Hills PA 15235-1831. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Stevens-Young, Dominique J can be contacted via phone (412) 583-7892.Contact Information
Primary practice address
371 Dorothy Dr
Penn Hills PA 15235-1831
Phone: (412) 583-7892
Fax: (412) 241-5509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CW015959 | Pennsylvania |
Profile Details
| NPI number | 1790821379 |
|---|---|
| LBN Legal business name | Stevens-Young, Dominique J |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Sep 16th, 2021 - about 3 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 | 1790821379 | NPPES |
| Pennsylvania | Other | 411414 | CCBHO |
| Pennsylvania | Other | PENDING | CCBHO |
| Pennsylvania | MEDICAID | 1016115230001 | CCBHO |
| Pennsylvania | Other | PENDING | CCBHO |
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