Provider Demographics
NPI:1093980930
Name:YOUNG, REBECCA MARGARITA (PHD)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:MARGARITA
Last Name: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 1:188 W NORTHERN LIGHTS BLVD STE 1110
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-3985
Mailing Address - Country:US
Mailing Address - Phone:907-931-4309
Mailing Address - Fax:
Practice Address - Street 1:188 W NORTHERN LIGHTS BLVD STE 1110
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-3985
Practice Address - Country:US
Practice Address - Phone:907-931-4309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK242434103TR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation