Marlena Young, HAIR LOSS CERTIFICAT

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

2701351689 Issued in MI

Practice address

20141 Bramford St
Detroit, MI 48234-3201

Phone

(678) 615-5908

NPI assigned

Jul 20, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1184232829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20141 BRAMFORD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482343201",
            "telephone_number": "678-615-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20141 BRAMFORD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482343201",
            "telephone_number": "678-615-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MARLENA",
        "credential": "HAIR LOSS CERTIFICAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "MI",
            "license": "2701351689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Young, FNP-C
• Karlita Young
• Kenetra Young, PHD
• Lance Young
• Malinda Lorraine Young, FAODP
• Mary Young, LLPC
• Maya Young
• Nakia Yvette Young, LBSW
• Paula Trinette Young
• Rachel F Young

• Prosthetics Case Management in Detroit, MI
• Providers in Detroit, MI by specialty
• Prosthetics Case Management in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.