Doctor Name: | CRYSTAL L YOUNG |
NPI Number: | 1821172230 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 2000170260 |
Business Practice Address: | 129 Ne Parks View Ct Lees Summit, MO - 640642353 |
Business Phone Number: | 8165883782 |
Business Fax Number: | 8163507668 |
Mailing Address: | 16104 E 76th St, KANSAS CITY |
State: | MO |
Postal Code: | 641391341 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/24/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2000170260 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
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 |