Healthcare Provider Details

I. General information

NPI: 1417864695
Provider Name (Legal Business Name): HUNTER JAY YOUNG PSYD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3521 SILVERSIDE RD STE 2F1
WILMINGTON DE
19810-4900
US

IV. Provider business mailing address

3521 SILVERSIDE RD STE 2F1
WILMINGTON DE
19810-4900
US

V. Phone/Fax

Practice location:
  • Phone: 833-815-2187
  • Fax: 302-224-1402
Mailing address:
  • Phone: 833-815-2187
  • Fax: 302-224-1402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: