Provider Demographics
NPI:1598971830
Name:YOUNGER, SUSAN DENISE (MD)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:DENISE
Last Name:YOUNGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:576 HIGHLAND COLONY PARKWAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157
Mailing Address - Country:US
Mailing Address - Phone:601-853-2676
Mailing Address - Fax:601-853-9535
Practice Address - Street 1:576 HIGHLAND COLONY PARKWAY
Practice Address - Street 2:SUITE 100
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157
Practice Address - Country:US
Practice Address - Phone:601-853-2676
Practice Address - Fax:601-853-9535
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MS108552084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry