Doctor Name: | MS. TINA SLIDER YOUNG |
NPI Number: | 1669679551 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | |
Business Practice Address: | 1438 S Mountain View Rd Castle Rock, CO - 801099552 |
Business Phone Number: | 3038141598 |
Business Fax Number: | |
Mailing Address: | 1438 S Mountain View Rd, CASTLE ROCK |
State: | CO |
Postal Code: | 801099552 |
Phone Number: | 3038141598 |
Fax Number: | |
NPI Enumeration Date: | 07/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |