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Contact Information

KELLY C YOUNG
1150 RESERVOIR AVE STE 203
CRANSTON, RI02920-6032
 Phone: 401-259-0340
 Fax: 401-213-8538
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health

103TH0004X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for KELLY C YOUNG · (Female)

NPI # 1811022809
Status Active
Credentials
Entity Individual
Enumeration date 02/22/2007
Last updated 05/16/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • RI License # PS02341
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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