MEDICARE: DR. ROBERT YOUNGER PHD, MSCP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	584	LA

General Provider Information

NPI Number	:	1942295043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT YOUNGER PHD, MSCP

Provider Business Mailing Address
First Line	:	7700 ARLINGTON BLVD
Second Line	:	BUREAU OF MEDICINE AND SURGERY
City	:	FALLS CHURCH
State	:	VA
Zip	:	22042-2929
Country	:	US
Telephone Number	:	703-681-5559
Fax Number	:

Provider Business Practice Location Address
First Line	:	7700 ARLINGTON BLVD
Second Line	:	BUREAU OF MEDICINE AND SURGERY
City	:	FALLS CHURCH
State	:	VA
Zip	:	22042-2929
Country	:	US
Telephone Number	:	703-681-5559
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	03/03/2015

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