Provider Demographics
NPI:1851424824
Name:YOUNG, SHARON L (PHD PSYCHOLOGY)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:L
Last Name:YOUNG
Suffix:
Gender:F
Credentials:PHD PSYCHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 CHARLESTOWN DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-3539
Mailing Address - Country:US
Mailing Address - Phone:828-774-9648
Mailing Address - Fax:
Practice Address - Street 1:322 8TH AVE E
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-3713
Practice Address - Country:US
Practice Address - Phone:828-774-9648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2691103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6000816Medicaid
NC2492654AMedicare ID - Type Unspecified