Provider Demographics
NPI:1669602884
Name:YOUNG, WILLIAM SIDNEY (PHD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:SIDNEY
Last Name:YOUNG
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
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Mailing Address - Street 1:747 S PARADISE CANYON RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84720-3175
Mailing Address - Country:US
Mailing Address - Phone:435-865-9119
Mailing Address - Fax:435-865-9115
Practice Address - Street 1:747 S PARADISE CANYON RD
Practice Address - Street 2:SUITE 2
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84720-3175
Practice Address - Country:US
Practice Address - Phone:435-865-9119
Practice Address - Fax:435-865-9115
Is Sole Proprietor?:No
Enumeration Date:2009-07-22
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT346225-2501103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical