Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XM0800X | Mental Health | 1027 | NE |
NPI | 1447756564 |
---|---|
Provider Name | Dr. Katherine Carmel Young |
First Address | Omaha, NE 68134-6821 |
Second Address | Omaha, NE 68134-6821 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2018 |
Last Update Date | 05/04/2018 |