Provider Demographics
NPI:1609178466
Name:YOUNG, KATE E (PHD)
Entity Type:Individual
Prefix:DR
First Name:KATE
Middle Name:E
Last Name:YOUNG
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 FOREST AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-4805
Mailing Address - Country:US
Mailing Address - Phone:408-298-0433
Mailing Address - Fax:408-295-8818
Practice Address - Street 1:2020 FOREST AVE STE 3
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-4805
Practice Address - Country:US
Practice Address - Phone:408-298-0433
Practice Address - Fax:408-295-8818
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-30
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 18021103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral