Provider Demographics
NPI:1780084509
Name:YOUNG-BELLAMY, SONYA (MSW)
Entity type:Individual
Prefix:
First Name:SONYA
Middle Name:
Last Name:YOUNG-BELLAMY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8875 RIDGE AVE
Mailing Address - Street 2:APT 31
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19128-2025
Mailing Address - Country:US
Mailing Address - Phone:267-971-2912
Mailing Address - Fax:
Practice Address - Street 1:8875 RIDGE AVE
Practice Address - Street 2:APT 31
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19128-2025
Practice Address - Country:US
Practice Address - Phone:267-971-2912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-28
Last Update Date:2014-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health