Basic Information
| Provider Information | |||||||||
| NPI: | 1932427473 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | YOUNG | ||||||||
| FirstName: | STEPHANIE | ||||||||
| MiddleName: | ROSE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PSY.D., M.P.H. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 550 S. VERMONT 9TH FLOOR ROOM 904 | ||||||||
| Address2: | LOS ANGELES COUNTY DEPT OF MENTAL HEALTH | ||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900291912 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 25775 MCBEAN PARKWAY, SUITE 202 | ||||||||
| Address2: | UCLA DEPT. OF MEDICINE, INTERNAL MEDICINE-PEDIATRICS | ||||||||
| City: | VALENCIA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 91355 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6617535464 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/07/2010 | ||||||||
| LastUpdateDate: | 07/17/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | 27735 | CA | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.