Provider Demographics
NPI:1275560229
Name:YOUNG, TRINA FAITH (PSYD)
Entity Type:Individual
Prefix:DR
First Name:TRINA
Middle Name:FAITH
Last Name:YOUNG
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2202 EXECUTIVE DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-6604
Mailing Address - Country:US
Mailing Address - Phone:757-827-7707
Mailing Address - Fax:757-838-2573
Practice Address - Street 1:2202 EXECUTIVE DR
Practice Address - Street 2:SUITE C
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-6604
Practice Address - Country:US
Practice Address - Phone:757-827-7707
Practice Address - Fax:757-838-2573
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810002932103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010128161OtherFIRST HEALTH
VA010128161Medicaid
VAO80136MOtherSENTARA HEALTH MANAGEMENT
VA191677OtherANTHEM
VA2082740OtherCIGNA
VA254811000OtherMAGELLAN
VA143965OtherCOM PSYCH
VA6137392OtherUNITED BH
VA120956OtherAMERICAN PSYC SYS
VA397046OtherVALUE OPTIONS
VA7176205OtherAETNA
VA$$$$$$$$$OtherTRICARE