Provider Demographics
NPI:1952518037
Name:YOUNG, SYLVIA T (PHD)
Entity Type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:T
Last Name:YOUNG
Suffix:
Gender:F
Credentials:PHD
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Mailing Address - Street 1:4925 INDIAN WOOD RD
Mailing Address - Street 2:#378
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-7559
Mailing Address - Country:US
Mailing Address - Phone:310-837-4229
Mailing Address - Fax:310-316-2677
Practice Address - Street 1:4925 INDIAN WOOD RD
Practice Address - Street 2:#378
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-7559
Practice Address - Country:US
Practice Address - Phone:310-837-4229
Practice Address - Fax:310-316-2677
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPSY 7329103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical