Whalio Doctors

NPI 1215039656

Susan Nilette Young, PSYD

Practitioner Clinical Neuropsychologist Jacksonville, FL

Practice location

Address
13400 Sutton Park Dr S Suite 1504, Jacksonville, FL 32224-0236
Phone
(904) 223-6414
Fax
(904) 223-6418
Mailing address
600 Ironwood Dr Unit 635, Ponte Vedra Beach, FL 32082-5219

Registered specialties (3)

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence PY7306 (FL)
Psychologist
Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence PY 7306 (FL)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PY 7306 (FL)

Registry record

NPI
1215039656
Entity type
Individual
Sex (as registered)
Female
NPI issued
5 Sep 2006
Record last updated
21 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.