Healthcare Provider Details

I. General information

NPI: 1144154287
Provider Name (Legal Business Name): YOUNG NEURO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3628 SACRAMENTO ST STE A
SAN FRANCISCO CA
94118-1739
US

IV. Provider business mailing address

3628 SACRAMENTO ST STE A
SAN FRANCISCO CA
94118-1739
US

V. Phone/Fax

Practice location:
  • Phone: 415-483-9307
  • Fax: 999-999-9999
Mailing address:
  • Phone: 415-483-9307
  • Fax: 999-999-9999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTINA M YOUNG
Title or Position: OWNER/NEUROPSYCHOLOGIST
Credential: PHD
Phone: 415-483-9307