| Kevin W Young, A Professional Medical Corporation | |
|
325 N Avenue F Crowley LA 70526-5042 | |
| (337) 783-5262 | |
| (337) 783-5264 |
| Full Name | Kevin W Young, A Professional Medical Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 325 N Avenue F, Crowley, Louisiana |
| Authorized Official Name and Position | Kevin W Young (PRESIDENT) |
| Authorized Official Contact | 3377835262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin W Young, A Professional Medical Corporation 325 N Avenue F Crowley LA 70526-5042 Ph: (337) 783-5262 | Kevin W Young, A Professional Medical Corporation 325 N Avenue F Crowley LA 70526-5042 Ph: (337) 783-5262 |
| NPI Number | 1932210663 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932210663 | NPI | - | NPPES |
| 1997846 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 09967R (Louisiana) | Primary |
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