Jennifer L. Young Ma CCC-SLP PA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

JENNIFER L. YOUNG MA CCC-SLP PA

Doing business as

Triad Tots Speech-Language Therapy

Practice address

1017 Canonero Dr
Greensboro, NC 27410-3803

Phone

(336) 707-0308

NPI assigned

Aug 11, 2011

Last updated

Aug 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer L. Young, MA CCC-SLPNPI 1174781058

Title

Speech Language Pathologist

Phone

(336) 707-0308

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Triad Tots Speech-Language Therapy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Leigh Young, MA CCC-SLP

  • Speech-Language Pathologist
  • Greensboro, NC
  • NPI 1174781058
  Authorized official Same address or phone

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1780963488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 CANONERO DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274103803",
            "telephone_number": "336-707-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 CANONERO DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274103803",
            "telephone_number": "336-707-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER L. YOUNG MA CCC-SLP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-11",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "336-707-0308",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7412958",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triad Tots Speech-Language Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tanya Jenkins, RN
• Terronda S Jenkins
• Wilbert Carl Jenkins Jr., M.D.
• Janell Jennette, RN
• Jennifer a. Greene, Licensed Clinical Social Worker, P.L.L.C.
• Jennifer Rosenbluth (Lessons Learned Therapy)
• Deborah Ann Jennings, L.AC
• Glenn E Jennings, M.D.
• Kristin J Jennings, MA
• Patricia Jennings, SLP

• Speech-Language Pathologist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.