Young, Thomas F

Young, Thomas F is an sole proprietor health care provider with primary practice located at 4120 Cromwell Ave , Los Angeles CA 90027-1354. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Young, Thomas F can be contacted via phone (323) 854-7057.

Contact Information

Primary practice address
4120 Cromwell Ave Los Angeles CA 90027-1354
Phone: (323) 854-7057
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY18246 California
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY18246 California

Profile Details

NPI number 1366491086
LBN Legal business name Young, Thomas F
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2006
Last updated Apr 25th, 2016 - about 8 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 1366491086 NPPES
California MEDICAID PSY182460

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