Healthcare Provider Details

I. General information

NPI: 1891607453
Provider Name (Legal Business Name): DR. WILLIAM CHAPMAN YOUNG
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19435 68TH AVE S STE S102
KENT WA
98032-2114
US

IV. Provider business mailing address

4754 FAUNTLEROY WAY SW APT 105
SEATTLE WA
98116-4652
US

V. Phone/Fax

Practice location:
  • Phone: 703-966-2745
  • Fax:
Mailing address:
  • Phone: 703-966-2745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number61660967
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: