Healthcare Provider Details

I. General information

NPI: 1386639730
Provider Name (Legal Business Name): PATRICIA J YOUNG PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PATRICIA J HEILAND PSY.D.

II. Dates (important events)

Enumeration Date: 09/13/2005
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2251 EASTERN BLVD
YORK PA
17402-2917
US

IV. Provider business mailing address

415 VINE ST
WRIGHTSVILLE PA
17368-1110
US

V. Phone/Fax

Practice location:
  • Phone: 717-840-2730
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS016408
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: