MIRELLA YOUNG


Address: 1298 Center St, Ludlow, MA 01056-1113
Phone: 9786975775

MIRELLA YOUNG (NPI# 1457842312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457842312
Entity Type Individual
Full Name MIRELLA YOUNG
Credential PSY.D.
Practice Address 1298 Center St
Ludlow
MA 01056-1113
Mailing Address Po Box 161
Ludlow
MA 01056-0161
Practice Telephone 9786975775
Mailing Telephone 9786975775
Enumeration Date 2018-05-25
Last Update Date 2018-05-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
10531 MA Behavioral Health & Social Service Providers

Office Location

Street Address 1298 CENTER ST
City LUDLOW
State MA
Zip Code 01056-1113

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NPI Name Taxonomy Address Enumeration
1992207997 Shannon Kurzeski Nurse Practitioner 77 Winsor Street - Ludlow Pediatrics, Ludlow, MA 01056 2018-03-06
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1285874271 Steve J. Mcdaniel D.d.s. PC Dentist 534 Center Street, Ludlow, MA 01056 2009-03-03
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1972580306 Lois C Albury Internal Medicine 14 Chestnut Place, Ludlow, MA 01056 2005-12-28
1720064983 Ann Maria Labar Elder Internal Medicine 222 State St, Ludlow, MA 01056 2005-12-20
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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1154934685 David S Sugarbaker Psychologist 1015 Brook Rd, Milton, MA 02186-4114 2020-08-25
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1992314330 Deborah Cohen Psychologist 25 State St Fl 26, Boston, MA 02109-2700 2020-07-30
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Competitor

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City LUDLOW
Zip Code 01056

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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