Young, Larry D.

Young, Larry D. is an individual health care provider with primary practice located at 1208 Eastchester Dr Suite 200, High Point NC 27265-3170. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Young, Larry D. can be contacted via phone (336) 802-2536.

Contact Information

Primary practice address
1208 Eastchester Dr Suite 200 High Point NC 27265-3170
Phone: (336) 802-2536
Fax: (336) 802-2534
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 764 North Carolina

Profile Details

NPI number 1700846441
LBN Legal business name Young, Larry D.
Credentials LIC. PSYCHOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Feb 18th, 2014 - about 11 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 1700846441 NPPES
North Carolina Other 60525 MEDCOST
North Carolina Other 2063642 MEDCOST
North Carolina Other 4827 MEDCOST
North Carolina Other 100586 MEDCOST
North Carolina MEDICAID 6000734 MEDCOST

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