Doctor Name: | MRS. MINDY S. YOUNG |
NPI Number: | 1487781845 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | SP-6063 |
Business Practice Address: | 1909 N Ridge Rd E Ste 6 Lorain, OH - 440553379 |
Business Phone Number: | 4402777337 |
Business Fax Number: | 4402777339 |
Mailing Address: | 1909 N Ridge Rd E Ste 6, LORAIN |
State: | OH |
Postal Code: | 440553379 |
Phone Number: | 4402777337 |
Fax Number: | 4402777339 |
NPI Enumeration Date: | 02/27/2007 |
NPI Last Update Date: | 11/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP-6063 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |