Individual provider · Type 1 NPI

Valencia L. Bagby-Young, EDD PSYCHOLOGY

Family Nurse Practitioner · West Hartford, CT

NPI number 1952736738 Active

Practice location

41 N Main St Ste 302
West Hartford, CT 06107-1929

Call (860) 236-7333 Map

Fax (203) 439-2087

Mailing address

31 Burnwood Drive
Bloomfield, CT 06002-2264

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000X003280 (CT)
Counseling Psychologist 103TC1900X003280 (CT)
Group Psychotherapy Psychologist 103TP2701X003280 (CT)
Family Nurse Practitioner Primary 363LF0000X7986 (CT)

Family Nurse Practitioner: Definition to come...

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About NPI 1952736738

Valencia L. Bagby-Young, EDD PSYCHOLOGY's National Provider Identifier is 1952736738, issued on Sep 11, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in West Hartford, CT. The record was last updated on Jul 3, 2019.