NPI 1043590805
Kyle Patrick de Young, PHD
Practice location
- Address
- 2100 S Columbia Rd Suite 202, Grand Forks, ND 58201-5895
- Phone
- (701) 772-1588
- Mailing address
- 319 Harvard St Stop 8380 Department of Psychology, Grand Forks, ND 58202-8380
Registered specialties
Psychologist
Primary
Registry record
- NPI
- 1043590805
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Aug 2011
- Record last updated
- 25 Aug 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.