Provider Demographics
NPI:1396879870
Name:YOUNG, DEBORAH ROSE (MD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:ROSE
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:301 OCEAN VIEW AVE
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024
Mailing Address - Country:US
Mailing Address - Phone:760-941-6062
Mailing Address - Fax:760-726-3509
Practice Address - Street 1:301 OCEAN VIEW AVE
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024
Practice Address - Country:US
Practice Address - Phone:760-941-6062
Practice Address - Fax:760-726-3509
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG0362672084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA46626Medicare UPIN