Provider Demographics
NPI:1285718767
Name:DE YOUNG, CATHERINE VERONICA (BSW)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:VERONICA
Last Name:DE YOUNG
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5808 SO 43RD
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53220
Mailing Address - Country:US
Mailing Address - Phone:414-421-0816
Mailing Address - Fax:
Practice Address - Street 1:5000 WEST NATIONAL AVE
Practice Address - Street 2:VA MILWAUKEE
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53295
Practice Address - Country:US
Practice Address - Phone:414-384-2000
Practice Address - Fax:414-382-5269
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical