Healthcare Provider Details

I. General information

NPI: 1427216126
Provider Name (Legal Business Name): ROBYN MOO YOUNG PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2008
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

467 LAKE HOWELL RD STE 207
MAITLAND FL
32751-5922
US

IV. Provider business mailing address

931 N STATE ROAD 434 STE 120-128
ALTAMONTE SPRINGS FL
32714-7022
US

V. Phone/Fax

Practice location:
  • Phone: 407-536-7250
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY9369
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: