| Mirella Young Psyd Llc | |
|
175 Dwight Rd Ste 303-b Longmeadow MA 01106-1576 | |
| (413) 345-2588 | |
| Not Available |
| Full Name | Mirella Young Psyd Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 175 Dwight Rd Ste 303-b, Longmeadow, Massachusetts |
| Authorized Official Name and Position | Mirella Young (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 4133452588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mirella Young Psyd Llc Po Box 161 Ludlow MA 01056-0161 Ph: (413) 345-2588 | Mirella Young Psyd Llc 175 Dwight Rd Ste 303-b Longmeadow MA 01106-1576 Ph: (413) 345-2588 |
| NPI Number | 1013619709 |
|---|---|
| Provider Enumeration Date | 03/20/2023 |
| Last Update Date | 03/20/2023 |
| Certification Date | 03/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013619709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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