Basic Information
Provider Information
NPI: 1073544789
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: YOUNG
FirstName: SHEILA
MiddleName: GIERE
NamePrefix: DR.
NameSuffix:  
Credential: PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3825 SQUAW VALLEY CIR
Address2:  
City: RENO
State: NV
PostalCode: 895095663
CountryCode: US
TelephoneNumber: 7758267751
FaxNumber:  
Practice Location
Address1: 1000 LOCUST STREET
Address2: MENTAL HEALTH SERVICE
City: RENO
State: NV
PostalCode: 89502
CountryCode: US
TelephoneNumber: 7753281225
FaxNumber: 7753281858
Other Information
ProviderEnumerationDate: 07/05/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TC0700XNV 235NVY Behavioral Health & Social Service ProvidersPsychologistClinical

No ID Information.


Home