Individual
MARY ELIZABETH YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP/CCC
Contact information
Practice address
1200 N STONEWALL AVE, OKLAHOMA CITY, OK 73117-1215
(405) 271-2866
Mailing address
3601 WAYFIELD AVE, OKLAHOMA CITY, OK 73179-1272
(405) 261-6129
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4177
OK
235Z00000X
Speech-Language Pathologist
4640
TN
Other
Enumeration date
02/21/2012
Last updated
09/05/2019
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