Young-Verkuilen, Beth

Young-Verkuilen, Beth is an sole proprietor health care provider with primary practice located at 806 Valley Rd Ste 21 , Menasha WI 54952-1012. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Young-Verkuilen, Beth can be contacted via phone (920) 882-9877.

Contact Information

Primary practice address
806 Valley Rd Ste 21 Menasha WI 54952-1012
Phone: (920) 882-9877
Fax: (920) 882-9880
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 149 Wisconsin
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 149-123 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3904 Wisconsin

Profile Details

NPI number 1558584300
LBN Legal business name Young-Verkuilen, Beth
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2007
Last updated May 7th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558584300 NPPES
Wisconsin Other 39-1917728 TAXPAYOR ID

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