Young, Diane Marie

Young, Diane Marie is an individual health care provider with primary practice located at 352 State St , North Haven CT 06473-3108. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Young, Diane Marie can be contacted via phone (203) 781-4600.

Contact Information

Primary practice address
352 State St North Haven CT 06473-3108
Phone: (203) 781-4600
Fax: (203) 781-4624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 000542 Connecticut
Behavioral Health & Social Service Providers / Clinical 1041C0700X 005227 Connecticut

Profile Details

NPI number 1194935940
LBN Legal business name Young, Diane Marie
Credentials LCSW, LADC
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Jan 24th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194935940 NPPES
Connecticut Other 300000542CT01 ANTHEM BCBS
Connecticut Other 022672 ANTHEM BCBS
Connecticut MEDICAID 500000315 ANTHEM BCBS
Connecticut Other 140005227CT01 ANTHEM BCBS
Connecticut Other 303733 ANTHEM BCBS
Connecticut MEDICAID 004082286 ANTHEM BCBS
Connecticut MEDICAID 008022626 ANTHEM BCBS
Connecticut Other 476270000 ANTHEM BCBS
Connecticut Other 513954 ANTHEM BCBS
Connecticut Other 7944589 ANTHEM BCBS
Connecticut MEDICAID 004235083 ANTHEM BCBS

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