Individual
TIMOTHY PHILLIP YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1015 BURNING SPRINGS CIR, LOUISVILLE, KY 40223-3654
(502) 744-5736
Mailing address
1015 BURNING SPRINGS CIR, LOUISVILLE, KY 40223-3654
(502) 744-5736
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY-2014
KY
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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