Doctor Name: | MS. COURTNEY ROAN RICHARDSON-YOUNG |
NPI Number: | 1780725440 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS. CCC-SLP |
License Number: | 2040 |
Business Practice Address: | 4212 Charlestown Rd Suite 3 New Albany, IN - 471509487 |
Business Phone Number: | 8129493272 |
Business Fax Number: | 8129493271 |
Mailing Address: | 9506 Applewood Cir, CRESTWOOD |
State: | KY |
Postal Code: | 400147553 |
Phone Number: | 5022439362 |
Fax Number: | |
NPI Enumeration Date: | 02/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2040 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
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 |