Provider Demographics
NPI:1699031302
Name:YOUNG, CYNTHIA D P (MA)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:D P
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4760 PORTLAND RD NE STE 102
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97305-1760
Mailing Address - Country:US
Mailing Address - Phone:503-798-6059
Mailing Address - Fax:
Practice Address - Street 1:4760 PORTLAND RD NE STE 102
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97305-1760
Practice Address - Country:US
Practice Address - Phone:503-798-6059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-06
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health