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Dr. Kenneth Ray Young JR.

Clinical Psychologist Forensic Psychologist Clinical Child & Adolescent Psychologist

12301 Whitewater Dr Ste 101
Minnetonka , Minnesota 55343-4157

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Dr. Kenneth Ray Young JR.

Clinical Psychologist Forensic Psychologist Clinical Child & Adolescent Psychologist

12301 Whitewater Dr Ste 101
Minnetonka , Minnesota 55343-4157

(952) 426-0508

Write a Review Save Call

Dr. Kenneth Ray Young JR.

Clinical Psychologist Forensic Psychologist Clinical Child & Adolescent Psychologist

12301 Whitewater Dr Ste 101
Minnetonka , Minnesota 55343-4157

(952) 426-0508 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Clinical Psychologist
  • Clinical Child & Adolescent Psychologist
  • Forensic Psychologist

Languages spoken

  • English

Location

12301 Whitewater Dr Ste 101 Minnetonka , Minnesota 55343-4157

First Address

  • Dr. Kenneth Ray Young JR.
  • 12301 Whitewater Dr Ste 101
  • Minnetonka, MN
  • Zip : 55343-4157
  • Fax : (952) 426-0508
  • Phone : (952) 999-6097

Second Address

  • Dr. Kenneth Ray Young JR.
  • 12301 Whitewater Dr Ste 101
  • Minnetonka, MN
  • Zip : 55343-4157
  • Fax : (952) 426-0508
  • Phone : (952) 999-6097

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FAQs


Where did Dr. Kenneth Ray Young JR. attend graduate school?

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Where did Dr. Kenneth Ray Young JR. do his residency?

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Where did Dr. Kenneth Ray Young JR. do his fellowship?

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Is Dr. Kenneth Ray Young JR. board certified?

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What type of doctor is Dr. Kenneth Ray Young JR.

Clinical Psychologist

In what state does Dr. Kenneth Ray Young JR. practice in?

Minnesota

Where is Dr. Kenneth Ray Young JR.’s practice located?

12301 Whitewater Dr Ste 101 , Minnetonka, Minnesota, 55343-4157

What is Dr. Kenneth Ray Young JR.’s gender?

Male

Is Dr. Kenneth Ray Young JR. a sole practitioner?

No

Is Dr. Kenneth Ray Young JR. accepting new patients?

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What languages does Dr. Kenneth Ray Young JR. speak?

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Does Dr. Kenneth Ray Young JR. accept insurance?

Yes, Dr. Kenneth Ray Young JR. accepts insurance

Does Dr. Kenneth Ray Young JR. offers telemedicine?

Dr. Kenneth Ray Young JR. has not indicated if he offers telemedicine

What is Dr. Kenneth Ray Young JR.’s professional license number?

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What is Dr. Kenneth Ray Young JR.’s NPI number?

1083927917

Does Dr. Kenneth Ray Young JR. have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 103G00000X Clinical Psychologist LP5036 MN
Y 103TC0700X Clinical Psychologist LP5036 MN
N 103TC2200X Clinical Child & Adolescent Psychologist LP5036 MN
N 103TF0200X Forensic Psychologist LP5036 MN

National Provider Identifier

NPI 1083927917
Provider Name Dr. Kenneth Ray Young JR.
First Address Minnetonka, MN 55343-4157
Second Address Minnetonka, MN 55343-4157
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 20/07/2010
Last Update Date 04/12/2017

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
1083927917 (05) MN

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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