Dr. Valencia L Bagby-Young, EdD Psychology
Nurse Practitioner, Family in West Hartford, CT. Individual provider (NPI-1).
NPI number1952736738
StatusActive
Last updated in NPPESJul 3, 2019
Details
- NPI
- 1952736738
- Entity type
- Individual (NPI-1)
- Name
- Dr. Valencia L Bagby-Young
- Credential
- EdD Psychology
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 11, 2013
- Last updated
- Jul 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 7986 | CT | Yes |
| 103T00000X | Psychologist | 003280 | CT | |
| 103TC1900X | Psychologist, Counseling | 003280 | CT | |
| 103TP2701X | Psychologist, Group Psychotherapy | 003280 | CT |
Practice location
41 N Main St Ste 302West Hartford, CT 06107-1929
Phone 860-236-7333 · Fax 203-439-2087
Mailing address
31 Burnwood DriveBloomfield, CT 06002-2264
Phone 860-604-6914 · Fax 860-242-1811
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