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Individual

DR. KEVIN CHRISTOPHER YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
11227 LOCKWOOD DR, SILVER SPRING, MD 20901-4554
(301) 593-4040
Mailing address
11227 LOCKWOOD DR, SILVER SPRING, MD 20901-4554
(301) 593-4040

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
06037
MD
103T00000X
Psychologist
0810006123
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06037
MARYLAND BOARD OF PSYCHOLOGISTS
MD
01
0810006123
VIRGINIA BOARD OF PSYCHOLOGISTS
VA
Enumeration date
02/10/2019
Last updated
02/10/2019
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