Young, Kimberly Arlene
Young, Kimberly Arlene is an individual health care provider with primary practice located at 3505 N 124Th St Uppr, Brookfield WI 53005-2489. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Young, Kimberly Arlene can be contacted via phone (414) 431-4444.Contact Information
Primary practice address
3505 N 124Th St Uppr
Brookfield WI 53005-2489
Phone: (414) 431-4444
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 2495-57 | Wisconsin |
Profile Details
| NPI number | 1265634505 |
|---|---|
| LBN Legal business name | Young, Kimberly Arlene |
| Credentials | PH. D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2007 |
| Last updated | Sep 27th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265634505 | NPPES |
| Wisconsin | MEDICAID | 409564000 |
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