Organization
JENNIFER L. YOUNG MA CCC-SLP PA
Active
Other names
Triad Tots Speech-Language Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER L. YOUNG MA CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(336) 707-0308
Entity
Organization
Contact information
Practice address
1017 CANONERO DR, GREENSBORO, NC 27410-3803
(336) 707-0308
Mailing address
1017 CANONERO DR, GREENSBORO, NC 27410-3803
(336) 707-0308
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7412958
—
NC
Enumeration date
08/11/2011
Last updated
08/11/2011
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