Individual
EDYTHE YUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH THERAPIST
Contact information
Practice address
4901 N SHORE DR, NORTH LITTLE ROCK, AR 72118-5293
(501) 791-3331
(501) 791-0294
Mailing address
4901 N SHORE DR, NORTH LITTLE ROCK, AR 72118-5293
(501) 791-3331
(501) 791-0294
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1674
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5U826
BLUE CROSS BLUE SHIELD
AR
Enumeration date
12/22/2006
Last updated
07/08/2007
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