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NPI Code Detail

MEDICARE: DR. CORINNE YOUNG PSYD

MEDICARE: DR. CORINNE YOUNG PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist20042291AIN
2103TC0700XClinical Psychologist20042291AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205805454
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CORINNE YOUNG PSYD
Provider Business Mailing Address
First Line : 697 PRO MED LN
Second Line :
City : CARMEL
State : IN
Zip : 46032-5323
Country : US
Telephone Number : 317-574-1254
Fax Number : 317-674-0060
Provider Business Practice Location Address
First Line : 2506 WILLOWBROOK PKWY STE 300
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46205-1500
Country : US
Telephone Number : 317-574-1254
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2006
Last Update Date : 05/11/2026

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