National Provider Identifier

Pauline Elizabeth Young, MACCC-SLP

Pauline Elizabeth Young, MACCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Penn Yan, NY and a listed phone number of (315) 536-3573.

NPI 1215173463Penn Yan, NYSpeech-Language Pathologist

Profile Overview

NPI
1215173463
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
December 17, 2008
Last Updated
September 09, 2013

Practice Location

  • 3296 County House RD
  • Penn Yan, NY 14527-8967

Phone: (315) 536-3573

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1215173463
Entity Type
Individual
Last Name
Young
First Name
Pauline
Middle Name
Elizabeth
Name Prefix
Mrs.
Credential
MACCC-SLP
Mailing Street Address
3296 County House RD
Mailing City
Penn Yan
Mailing State
NY
Mailing ZIP Code
14527-8967
Mailing Country
US
Mailing Phone
(315) 536-3573
Mailing Fax
(315) 536-3573
Practice Street Address
3296 County House RD
Practice City
Penn Yan
Practice State
NY
Practice ZIP Code
14527-8967
Practice Country
US
Practice Phone
(315) 536-3573
Practice Fax
(315) 536-3573
Enumeration Date
December 17, 2008
Last Updated
September 09, 2013
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)