Deborah Denise Young, MA.CCC/SLP
Individual provider Active NPI Speech-Language Pathologist · Cushing, OK
NPI 1306211024 · NPPES record last updated Dec 7, 2015
Key facts
- NPI
- 1306211024
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 570 (OK)
- Practice address
- 316 N. Steele Ave
Cushing Upper Elementary
Cushing, OK 74023 - Phone
- (918) 225-4497
- Fax
- (918) 225-3026
- NPI assigned
- Dec 7, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 570 | OK | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Five Star Interlocal Cooperative | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 570 | OK | Yes |
Addresses
Primary practice location
316 N. Steele Ave
Cushing Upper Elementary
Cushing, OK 74023
Mailing address
1405 East Moses
Cushing, OK 74023
Phone (918) 225-5600
Other providers in Cushing, OK
- Leslie W White
- Lynzie Wilson
- World Wide Anesthesia Alliance
- Cassidy Young
- Colin Archibald Young
- Jessica Fielding Zwanziger
All providers in Cushing, OK · Speech-Language Pathologist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.