Active NPIIndividual provider

Dr. Valencia L Bagby-Young, EDD PSYCHOLOGY

Nurse Practitioner, Family in West Hartford, Connecticut

NPI Number1952736738
Practice location
41 N Main St Ste 302, West Hartford, CT 06107-1929
Fax
203-439-2087
Last updated
July 3, 2019

Valencia L Bagby-Young is a Nurse Practitioner, Family based in West Hartford, CT. Valencia L Bagby-Young practices in West Hartford, CT and has the professional credentials of EDD PSYCHOLOGY. The NPI Number for Valencia L Bagby-Young is 1952736738 and holds a License No. 003280 (CT). The current practice location address for Valencia L Bagby-Young is 41 N Main St Ste 302, West Hartford, CT 06107-1929 and can be reached out via phone at 860-236-7333 and via fax at 203-439-2087.

Provider Profile Details

NPI Number
1952736738
Provider Name
Valencia L Bagby-Young
Credential
EDD PSYCHOLOGY
Provider Entity Type
Individual
Gender
Female
Address
41 N Main St Ste 302, West Hartford, CT 06107-1929
Phone Number
860-236-7333
Fax Number
203-439-2087
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
September 11, 2013
Last Update Date
July 3, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
41 N Main St Ste 302
West Hartford, CT 06107-1929
Zip
06107-1929
Phone Number
860-236-7333
Fax Number
203-439-2087
West Hartford, CT 06107Get directions →

Provider Business Mailing Address Details

Address
31 Burnwood Drive
Bloomfield, CT 06002-2264
City
Bloomfield
State
CT
Zip
06002-2264
Phone Number
860-604-6914
Fax Number
860-242-1811

License Information

License Number (1)
003280
License State (1)
CT
Taxonomy (1)
Psychologist · 103T00000X
License Number (2)
003280
License State (2)
CT
Taxonomy (2)
Psychologist, Counseling · 103TC1900X
License Number (3)
003280
License State (3)
CT
Taxonomy (3)
Psychologist, Group Psychotherapy · 103TP2701X
License Number (4)
7986
License State (4)
CT
Taxonomy (4)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Valencia L Bagby-Young, EDD PSYCHOLOGY?

The NPI number of Dr. Valencia L Bagby-Young, EDD PSYCHOLOGY is 1952736738. It was assigned on September 11, 2013 and is currently active in the NPPES registry.

What is the specialty of Dr. Valencia L Bagby-Young, EDD PSYCHOLOGY?

Dr. Valencia L Bagby-Young, EDD PSYCHOLOGY is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 003280.

Where does Dr. Valencia L Bagby-Young, EDD PSYCHOLOGY practice?

The practice location is 41 N Main St Ste 302, West Hartford, CT 06107-1929. The office can be reached at 860-236-7333 (phone) or 203-439-2087 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1952736738 directly on the NPPES registry website.

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