MEDICARE: MR. LARRY D. YOUNG LIC. PSYCHOLOGIST

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	103TC0700X	Clinical Psychologist	764	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	60525	OTHER	NC	MEDCOST
2	2063642	OTHER	NC	CIGNA BEHAVIORAL HEALTH
3	4827	OTHER	NC	BCBS OF NC
4	100586	OTHER	NC	UNITED BEHAVIORAL HEALTH
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700846441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. LARRY D. YOUNG LIC. PSYCHOLOGIST

Provider Business Mailing Address
First Line	:	1701 WESTCHESTER DR
Second Line	:	STE 850
City	:	HIGH POINT
State	:	NC
Zip	:	27262-7254
Country	:	US
Telephone Number	:	336-802-2536
Fax Number	:	336-802-2534

Provider Business Practice Location Address
First Line	:	1208 EASTCHESTER DR
Second Line	:	SUITE 200
City	:	HIGH POINT
State	:	NC
Zip	:	27265-3170
Country	:	US
Telephone Number	:	336-802-2536
Fax Number	:	336-802-2534

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

Provider Enumeration Date	:	03/25/2006
Last Update Date	:	02/18/2014

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