Individual
DR. KYLE PATRICK DE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2100 S COLUMBIA RD, SUITE 202, GRAND FORKS, ND 58201-5895
(701) 772-1588
Mailing address
319 HARVARD ST STOP 8380, DEPARTMENT OF PSYCHOLOGY, GRAND FORKS, ND 58202-8380
(701) 777-5671
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/25/2011
Last updated
08/25/2011
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