Victoria L Young, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

CF7108 Issued in NM

Practice address

1500 South Ave K
Station 3 Shroc
Portales, NM 88130

Phone

(505) 901-9223

NPI assigned

Aug 21, 2017

Last updated

Sep 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Victoria Laura Young Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eastern New Mexico University

  dba ENMU Speech Hearing Outreach Rehabilitation Center

  • Speech-Language Pathologist
  • Portales, NM
  • NPI 1356115273
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1700302890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 EUBANK BLVD NE APT 107",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871116186",
            "telephone_number": "505-206-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SOUTH AVE K",
            "address_2": "STATION 3 SHROC",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "88130",
            "telephone_number": "505-901-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "VICTORIA",
        "middle_name": "L",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "CF7108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "YOUNG",
            "middle_name": "LAURA",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brandon T Wilson
• Wofford Medical Practice LLC (Portales Quick Care)
• Laura Woznick
• Lindsay Young, FNP-C
• Ruth A Young, RN
• Heidi Michelle Zamora
• Zia Speech and Swallow LLC

• Speech-Language Pathologist in Portales, NM
• Providers in Portales, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.