Provider Demographics
NPI:1386083087
Name:YOUNG-MORRISON, FAUVE ELIETH (PSYD)
Entity type:Individual
Prefix:DR
First Name:FAUVE
Middle Name:ELIETH
Last Name:YOUNG-MORRISON
Suffix:
Gender:
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 DAVIS ST
Mailing Address - Street 2:
Mailing Address - City:CLARKS SUMMIT
Mailing Address - State:PA
Mailing Address - Zip Code:18411-1837
Mailing Address - Country:US
Mailing Address - Phone:570-319-6961
Mailing Address - Fax:
Practice Address - Street 1:411 DAVIS ST
Practice Address - Street 2:
Practice Address - City:CLARKS SUMMIT
Practice Address - State:PA
Practice Address - Zip Code:18411-1837
Practice Address - Country:US
Practice Address - Phone:570-319-6961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-17
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS017402103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical