Individual
CHRISTIE ZATOPEK YOUNGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 NE 14TH ST, FORT WORTH, TX 76164-8901
(817) 938-4448
Mailing address
2111 HURLEY AVE, FORT WORTH, TX 76110-1827
(817) 938-4448
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
659249401
—
TX
Enumeration date
06/15/2022
Last updated
08/10/2022
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