Youngman, James Leonard

Youngman, James Leonard is an individual health care provider with primary practice located at 40 11Th St , Cloquet MN 55720-1817. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Youngman, James Leonard can be contacted via phone (218) 879-4559.

Contact Information

Primary practice address
40 11Th St Cloquet MN 55720-1817
Phone: (218) 879-4559
Fax: (218) 879-0282
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP0694 Minnesota

Profile Details

NPI number 1962431205
LBN Legal business name Youngman, James Leonard
Credentials MA, LP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated May 23rd, 2012 - about 13 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 1962431205 NPPES
Minnesota MEDICAID 207048100

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