Provider Demographics
NPI:1871165316
Name:YOUNG CYPRESS PSYCHOLOGY
Entity type:Organization
Organization Name:YOUNG CYPRESS PSYCHOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST/CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:HUNTER
Authorized Official - Last Name:CHENIER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:504-717-1621
Mailing Address - Street 1:6342 MILNE BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70124-2037
Mailing Address - Country:US
Mailing Address - Phone:504-717-1621
Mailing Address - Fax:
Practice Address - Street 1:6342 MILNE BLVD
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70124-2037
Practice Address - Country:US
Practice Address - Phone:504-717-1621
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-14
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Single Specialty