MEDICARE: DR. JOEL L YOUNG MD

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
1	2084P0800X	Psychiatry Physician	4301054842	MI

General Provider Information

NPI Number	:	1356325468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOEL L YOUNG MD

Provider Business Mailing Address
First Line	:	441 S LIVERNOIS
Second Line	:	STE 205
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307
Country	:	US
Telephone Number	:	248-608-8800
Fax Number	:	248-608-2490

Provider Business Practice Location Address
First Line	:	441 S LIVERNOIS RD
Second Line	:	STE 205
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-2584
Country	:	US
Telephone Number	:	248-608-8800
Fax Number	:	348-608-2490

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2005
Last Update Date	:	01/20/2011

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Practice Location Address:

441 S LIVERNOIS RD , SUITE 205
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48307-2584

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Practice Fax: 248-608-2490

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