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: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1646 N ATHERTON ST # 1042
STATE COLLEGE PA
16803-1416
US

IV. Provider business mailing address

1646 N ATHERTON ST # 1042
STATE COLLEGE PA
16803-1416
US

V. Phone/Fax

Practice location:
  • Phone: 814-246-7818
  • Fax:
Mailing address:
  • Phone: 814-246-7818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS020049
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: