Provider Demographics
NPI:1700028164
Name:DAVID YOUNGER, PC
Entity Type:Organization
Organization Name:DAVID YOUNGER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:BATKIN
Authorized Official - Last Name:YOUNGER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:914-330-6463
Mailing Address - Street 1:2801 CEDARVIEW DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-4606
Mailing Address - Country:US
Mailing Address - Phone:914-330-6463
Mailing Address - Fax:
Practice Address - Street 1:2801 CEDARVIEW DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-4606
Practice Address - Country:US
Practice Address - Phone:914-330-6463
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-01
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36218103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY017592OtherNEW YORK PSYCHOLOGIST LICENSE
TX36218OtherTEXAS PSYCHOLOGY LICENSE
TX1215109194OtherINDIVIDUAL NPI