Individual
DANA MARIE YOUNGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMLP
Contact information
Practice address
485 W 4TH ST, COLBY, KS 67701-2139
(785) 460-7588
(785) 460-2396
Mailing address
485 W 4TH ST, COLBY, KS 67701-2139
(785) 460-7588
(785) 460-2396
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
03031
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03031
BSRB
KS
Enumeration date
04/30/2021
Last updated
04/30/2021
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