Young, Martin

Young, Martin is an individual health care provider with primary practice located at 55 Lake Ave N Department Of Behavioral Medicine, Worcester MA 01655-0002. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Young, Martin can be contacted via phone (508) 856-3149.

Contact Information

Primary practice address
55 Lake Ave N Department Of Behavioral Medicine Worcester MA 01655-0002
Phone: (508) 856-3149
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2114 Massachusetts

Profile Details

NPI number 1982682274
LBN Legal business name Young, Martin
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Jul 8th, 2007 - about 17 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 1982682274 NPPES
Massachusetts MEDICAID 0511013

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