SALLY S. YOUNG PHD, PROFESSIONAL CORPORATION
NPI 1619050143
Psychologist - Clinical in Burlington, VT

Q: What is Sally S. Young Phd, Professional Corporation's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since October 20, 2006

86 LAKE ST, OFFICE 307, BURLINGTON, VT 05401(802) 862-2773(802) 862-6496 Get Directions Write a Review

NPPES record last updated: March 7, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Sally S. Young Phd, Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SALLY S. YOUNG PHD, PROFESSIONAL CORPORATION (NPI 1619050143) is a healthcare organization registered as a clinical in Burlington, Vermont and active in the NPI registry since October 2006. The organization lists Sally Serrell Young, Licensed Psychologist - Doctorate, as its authorized official.

NPPES Registry Identity

NPI1619050143

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameSALLY S. YOUNG PHD, PROFESSIONAL CORPORATION

Location Address86 LAKE ST, OFFICE 307Burlington, VT 05401-5297

Mailing AddressPo Box 626Burlington, VT 05402-0626 · (802) 862-2773 · Fax (802) 862-6496

Phone(802) 862-2773

Fax(802) 862-6496

Organization SubpartNo

Authorized OfficialSally Serrell YoungLicensed Psychologist - Doctorate · (802) 862-2773

Enumeration DateOctober 20, 2006

Last NPPES UpdateMarch 7, 2011

✔ NPI 1619050143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in VT · 480000178

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

86 LAKE ST, Burlington, VT 05401

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Other Identifiers 3

MedicaidVT6583VT

Medicare ID-Type UnspecifiedVT6583VT · Clinical Psychologist

Other0008363VT · Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID A PORTER MA, LADC

Counselor (Addiction (Substance Use Disorder))