Individual
NICHOLAS DAVID YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2932
(414) 266-3735
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2932
(414) 266-3735
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
3501-57
WI
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
3501
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659700508
—
WI
Enumeration date
11/01/2013
Last updated
07/21/2022
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