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NPI Code Detail

MEDICARE: RACHEL ST. BERNARD YOUNG MD

MEDICARE: RACHEL ST. BERNARD 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
11041C0700XClinical Social Worker
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1629448931
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL ST. BERNARD YOUNG MD
Provider Business Mailing Address
First Line : 3595 OLENTANGY RIVER RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-3440
Country : US
Telephone Number : 614-566-5456
Fax Number : 614-566-6902
Provider Business Practice Location Address
First Line : 2145 N FAIRFIELD RD STE 100
Second Line :
City : BEAVERCREEK
State : OH
Zip : 45431-2783
Country : US
Telephone Number : 937-558-3942
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2015
Last Update Date : 01/15/2026

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Directions to “ RACHEL ST. BERNARD YOUNG MD” Practice Location

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