Individual
MARTHA CAMERON YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
213 THIRD STREET, JUNEAU, AK 99801
(907) 586-8228
(907) 586-8226
Mailing address
213 THIRD STREET, JUNEAU, AK 99801
(907) 586-8228
(907) 586-8226
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
37
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SP9559
—
AK
05
—
SP9559-1
—
AK
Enumeration date
05/07/2007
Last updated
07/09/2007
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