Provider Demographics
NPI:1023211927
Name:ANTHONY P YOUNG, PSY.D. & ASSOCIATES
Entity Type:Organization
Organization Name:ANTHONY P YOUNG, PSY.D. & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:P
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:719-473-0043
Mailing Address - Street 1:411 LAKEWOOD CIRCLE
Mailing Address - Street 2:SUITE A109B
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80910-4658
Mailing Address - Country:US
Mailing Address - Phone:719-473-0043
Mailing Address - Fax:719-632-8182
Practice Address - Street 1:411 LAKEWOOD CIRCLE
Practice Address - Street 2:SUITE A109B
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80910-4658
Practice Address - Country:US
Practice Address - Phone:719-473-0043
Practice Address - Fax:719-632-8182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health