Individual
DR. KIM YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1830 OWEN DR STE 10-12, FAYETTEVILLE, NC 28304-1611
(910) 797-3302
(910) 705-8184
Mailing address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-0001
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
4735
NC
103TC0700X
Clinical Psychologist
024245-01
NY
103TC0700X
Clinical Psychologist
Primary
5917
NC
103TC0700X
Clinical Psychologist
6421
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
589561802
—
MD
Enumeration date
10/06/2009
Last updated
10/21/2025
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