Individual
CARA YOUNG-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP/L
Contact information
Practice address
19970 VOLTERA PL, BEND, OR 97702-3793
(847) 525-0707
Mailing address
19970 VOLTERA PL, BEND, OR 97702-3793
(847) 525-0707
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016645
OR
235Z00000X
Speech-Language Pathologist
146014017
IL
235Z00000X
Speech-Language Pathologist
150335
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016645
OREGON STATE LICENSURE
OR
01
—
146014017
ILLINOIS STATE LICENSURE
IL
01
—
150335
ALASKA STATE LICENSURE
AK
Enumeration date
09/30/2019
Last updated
11/27/2023
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