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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 3 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 1265634505 NPPES
Wisconsin MEDICAID 409564000

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