Doctor Name: | MS. KATHLEEN MARIE YOUNG |
NPI Number: | 1225372147 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DNP, PMHNP-BC |
License Number: | 4704155077 |
Business Practice Address: | 610 Lantana St Harker Heights, TX - 765488029 |
Business Phone Number: | 5864917727 |
Business Fax Number: | |
Mailing Address: | 610 Lantana St, HARKER HEIGHTS |
State: | TX |
Postal Code: | 765488029 |
Phone Number: | 5864917727 |
Fax Number: | |
NPI Enumeration Date: | 11/15/2012 |
NPI Last Update Date: | 09/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | 4704155077 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |