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NPI 1922611458

NPI 1922611458 : CHASE AARON YOUNG PSYD : INDIANAPOLIS, IN

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General NPI Number Information
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    NPI Number           |    1922611458
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    Entity Type          |    Individual 
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    Provider Name        |    CHASE AARON YOUNG PSYD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/25/2020
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    Last Update Date     |    01/09/2026
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Provider Practice Location Address
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    Address Line         |    8470 ALLISON POINTE BLVD STE 130 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46250-4368
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    Country              |    US
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    Telephone            |    216-468-5000
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    Fax                  |    216-456-8128
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Provider Business Mailing Address
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    Address Line         |    4800 N SCOTTSDALE RD STE 2500 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85251-7630
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    20043987A
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    License Number State |    IN
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