Active NPI
Teresa Young, M.S. CCC-SLP
- Speech-Language Pathologist
- Farr West, UT
National Provider Identifier
1619616547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 9854046-4102
- Practice address
- 3340 N 3050 W
Farr West, UT 84404-8614 - Phone
- (801) 395-5610
- NPI assigned
- May 31, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 9854046-4102 | UT | Primary |
Addresses
Primary practice location
3340 N 3050 W
Farr West, UT 84404-8614
Mailing address
PO Box 307
Honeyville, UT 84314-0307
Phone (435) 452-2301
Other practice location 1
2721 W 7100 N
Honeyville, UT 84314
Phone (435) 452-2301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9854046-4102 | UT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653955200000",
"number": "1619616547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 307",
"city": "HONEYVILLE",
"state": "UT",
"postal_code": "843140307",
"telephone_number": "435-452-2301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3340 N 3050 W",
"city": "FARR WEST",
"state": "UT",
"postal_code": "844048614",
"telephone_number": "801-395-5610"
}
],
"practiceLocations": [
{
"address_1": "2721 W 7100 N",
"address_purpose": "LOCATION",
"city": "Honeyville",
"state": "UT",
"postal_code": "84314",
"country_code": "US",
"telephone_number": "435-452-2301",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNG",
"first_name": "TERESA",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-31",
"last_updated": "2022-05-31",
"certification_date": "2022-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "UT",
"license": "9854046-4102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farr West, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.