Doctor Name: | MRS. HEATHER C YOUNGBLOOD |
NPI Number: | 1245354216 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MCD, CCC-SLP |
License Number: | 1887 |
Business Practice Address: | 7041 Senators Dr Liberal Arts 110 Montgomery, AL - 36117 |
Business Phone Number: | 3342443408 |
Business Fax Number: | |
Mailing Address: | Po Box 681732, PRATTVILLE |
State: | AL |
Postal Code: | 360681732 |
Phone Number: | 3344919597 |
Fax Number: | |
NPI Enumeration Date: | 03/16/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1887 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |