Individual
DR. KEVIN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
Mailing address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6642
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
382143740
TAX ID
MI
05
—
730195
—
MI
Enumeration date
11/07/2006
Last updated
08/13/2025
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