Individual
ANITA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
400 CENTRAL AVE, BRUNSWICK, MD 21716-1022
(240) 236-2932
Mailing address
14889 WRIGHTS LN, WATERFORD, VA 20197-1602
(703) 217-2444
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01401
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407900178
—
MD
Enumeration date
12/19/2018
Last updated
12/19/2018
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