Healthcare Provider Details

I. General information

NPI: 1982524534
Provider Name (Legal Business Name): ARIA YOUNSUN SON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: YOUNSUN SON

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4507 RANGEVIEW DR
BILLINGS MT
59106-4722
US

IV. Provider business mailing address

4507 RANGEVIEW DR
BILLINGS MT
59106-4722
US

V. Phone/Fax

Practice location:
  • Phone: 801-946-1394
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TE1100X
TaxonomyExercise & Sports Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: