Healthcare Provider Details

I. General information

NPI: 1598426108
Provider Name (Legal Business Name): DEMPSEY WILLIAM YOUNG PSYD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2022
Last Update Date: 01/05/2022
Certification Date: 01/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

521 TOFTREES AVE APT 209
STATE COLLEGE PA
16803-1976
US

IV. Provider business mailing address

521 TOFTREES AVE APT 209
STATE COLLEGE PA
16803-1976
US

V. Phone/Fax

Practice location:
  • Phone: 412-290-6523
  • Fax:
Mailing address:
  • Phone: 412-290-6523
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: