Healthcare Provider Details

I. General information

NPI: 1144389529
Provider Name (Legal Business Name): STEPHEN ALLEN YOUNKER ED.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 S 40TH AVE 22
YAKIMA WA
98908-3806
US

IV. Provider business mailing address

1015 S 40TH AVE 22
YAKIMA WA
98908-3806
US

V. Phone/Fax

Practice location:
  • Phone: 509-966-5685
  • Fax: 509-966-5731
Mailing address:
  • Phone: 509-966-5685
  • Fax: 509-966-5731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY000732
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License NumberPSY000732
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: