Doctor Name: | MS. STACY BURNS YOUNG |
NPI Number: | 1295850196 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC SLP |
License Number: | 01275 |
Business Practice Address: | 301 Ne Trilein, Suite 4 Ankeny, IA - 50021 |
Business Phone Number: | 5159657682 |
Business Fax Number: | |
Mailing Address: | 811 Burr Oaks Dr 1302, WEST DES MOINES |
State: | IA |
Postal Code: | 50266 |
Phone Number: | 5152252141 |
Fax Number: | |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 01275 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
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 |