Simone Young, PsyD
Psychologist in Chicago, IL. Individual provider (NPI-1).
NPI number1053912840
StatusActive
Last updated in NPPESNov 6, 2020
Details
- NPI
- 1053912840
- Entity type
- Individual (NPI-1)
- Name
- Simone Young
- Credential
- PsyD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 6, 2020
- Certification date
- Nov 6, 2020
- Last updated
- Nov 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 71010191 | IL | Yes |
Practice location
4849 N Milwaukee Ave Ste 503Chicago, IL 60630-2191
Phone 773-492-0913
Mailing address
4849 N Milwaukee Ave Ste 503Chicago, IL 60630-2191
Phone 773-492-0913
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