Healthcare Provider Details
I. General information
NPI: 1912377136
Provider Name (Legal Business Name): ASHLEIGHANN YOUNG PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/30/2015
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
134 W END AVE
SOMERVILLE NJ
08876-1816
US
IV. Provider business mailing address
5 HUTCHINSON RD
ALLENTOWN NJ
08501-1415
US
V. Phone/Fax
- Phone: 908-333-4646
- Fax:
- Phone: 848-391-2807
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | 35SI00639200 |
| License Number State | NJ |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | 143-058 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: