Julia Young

Individual provider Active NPI Speech-Language Pathologist · Nebo, NC

NPI 1285772913 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1285772913
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
4557 (NC)
Practice address
359 Cedarbrook LN
Nebo, NC 28761-7624
Phone
(828) 659-2526
NPI assigned
Feb 2, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4557NCMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4557 NC Yes

Addresses

Primary practice location

359 Cedarbrook LN
Nebo, NC 28761-7624

Mailing address

359 Cedarbrook LN
Nebo, NC 28761-7624

Other identifiers

IdentifierTypeStateIssuer
7411656MedicaidNC

Other providers in Nebo, NC

All providers in Nebo, NC · Speech-Language Pathologist in North Carolina

Sources for this page

Verify at the official NPI Registry.