| J Christopher Young Phd Pc | |
|
3150 N 12th St Grand Junction CO 81506-2863 | |
| (970) 242-5707 | |
| (970) 242-7245 |
| Full Name | J Christopher Young Phd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 3150 N 12th St, Grand Junction, Colorado |
| Authorized Official Name and Position | J. Christopher Young (OWNER) |
| Authorized Official Contact | 9702425707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J Christopher Young Phd Pc 3150 N 12th Street Po Box 10700 Grand Junction CO 81502-5517 Ph: (970) 242-5707 | J Christopher Young Phd Pc 3150 N 12th St Grand Junction CO 81506-2863 Ph: (970) 242-5707 |
| NPI Number | 1972786549 |
|---|---|
| Provider Enumeration Date | 12/06/2007 |
| Last Update Date | 01/15/2008 |
| Medicare PECOS PAC ID | 9830270800 |
|---|---|
| Medicare Enrollment ID | O20080116000054 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972786549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1248 (Colorado) | Primary |
| Provider Name | James C Young |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942308382 PECOS PAC ID: 5698738938 Enrollment ID: I20041108001199 |
| Provider Name | Erik J Marsh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851674667 PECOS PAC ID: 8527363498 Enrollment ID: I20160302000291 |
| Provider Name | Judith Ann Shue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639524325 PECOS PAC ID: 1254620420 Enrollment ID: I20160512000195 |
| Provider Name | Carrie L Hinds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306262480 PECOS PAC ID: 8527345719 Enrollment ID: I20170425001542 |
| Provider Name | Thomas Weir |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972846772 PECOS PAC ID: 0244517431 Enrollment ID: I20170425001571 |
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