Provider Demographics
NPI:1902570294
Name:MCNEIL-YOUNG, VICTORIA ALEXIS (PHD)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:ALEXIS
Last Name:MCNEIL-YOUNG
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12856 KELSEY ISLAND DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32224-7562
Mailing Address - Country:US
Mailing Address - Phone:850-591-8243
Mailing Address - Fax:
Practice Address - Street 1:12856 KELSEY ISLAND DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32224-7562
Practice Address - Country:US
Practice Address - Phone:850-591-8243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-02
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist