Provider Demographics
NPI:1164658928
Name:YOUNG, BRUCE CABOT II (PSYD)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:CABOT
Last Name:YOUNG
Suffix:II
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-3725
Mailing Address - Country:US
Mailing Address - Phone:828-407-7237
Mailing Address - Fax:
Practice Address - Street 1:326 SUNSET DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-3725
Practice Address - Country:US
Practice Address - Phone:828-407-7237
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-08
Last Update Date:2019-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP2941103TC0700X
NC4281103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical