Individual
DR. KEVIN PATRICK YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
200 RETREAT AVE, HARTFORD HOSPITAL/ INSTITUTE OF LIVING, HARTFORD, CT 06106-3309
(860) 545-7167
Mailing address
200 RETREAT AVE, HARTFORD HOSPITAL/ INSTITUTE OF LIVING, HARTFORD, CT 06106-3309
(860) 545-7167
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
3219
CT
103TC0700X
Clinical Psychologist
3219
CT
Other
Enumeration date
09/19/2012
Last updated
07/28/2014
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