JENNIFER L. YOUNG MA CCC-SLP PA


Address: 1017 Canonero Dr, Greensboro, NC 27410-3803
Phone: 3367070308

JENNIFER L. YOUNG MA CCC-SLP PA (NPI# 1780963488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780963488
Entity Type Organization
Organization Name JENNIFER L. YOUNG MA CCC-SLP PA
Other Organization Name TRIAD TOTS SPEECH-LANGUAGE THERAPY
Practice Address 1017 Canonero Dr
Greensboro
NC 27410-3803
Practice Telephone 3367070308
Mailing Telephone 3367070308
Enumeration Date 2011-08-11
Last Update Date 2011-08-11
Authorized Official Name MRS. JENNIFER L. YOUNG (SPEECH LANGUAGE PATHOLOGIST)
Authorized Official Telephone 3367070308
Authorized Official Credential MA CCC-SLP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 7412958 05

Other Provider/Organization Names

Other Name Type Code
Triad Tots Speech-Language Therapy Doing Business As Name - Organization

Office Location

Street Address 1017 CANONERO DR
City GREENSBORO
State NC
Zip Code 27410-3803

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1679139372 Iora Health North Carolina, P.C. Internal Medicine 3351 Battleground Ave., Greensboro, NC 27410 2019-05-17
1669950689 Matthew W Devaney Dds @ Brassfield, Pa Dentist 2018 New Garden Rd D., Greensboro, NC 27410 2018-08-01
1306323951 Carolina Children's Eye Care, Pa Ophthalmology Friendly-holden Building, 3608 W Friendly Ave, Suite 101, Greensboro, NC 27410 2018-07-26
1457846495 Courtney Canty James Pharmacist 3300 W Friendly Ave, Greensboro, NC 27410 2018-06-22
1063904506 Jonathan Hunt Dentist 5506 W Friendly Ave Ste 101, Greensboro, NC 27410 2018-05-31
1487158549 Ruth Ann Foster Registered Nurse 3005 Steepleton Colony Court, Greensboro, NC 27410 2018-03-22
1568973360 Novant Medical Group Inc. Internal Medicine 1622 Highwoods Blvd Unit G105, Greensboro, NC 27410 2017-10-19
1942724729 Greenbrook Tms Greensboro LLC Psychiatry & Neurology 1931 New Garden Rd Ste 108, Greensboro, NC 27410 2017-08-02
1750810156 Ibrahim Koroma Home Health Aide 4907 Hickory Woods Dr, Greensboro, NC 27410 2017-06-08
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013523505 Sarah Ann Julian Speech-Language Pathologist 5404 White Blossom Dr, Greensboro, NC 27410-9337 2020-09-20
1932714219 Alden Mitchell Speech-Language Pathologist 5000 Shorthorn Way, Greensboro, NC 27405-9770 2020-09-13
1548884505 Amy Elizabeth Raye Speech-Language Pathologist 3907 W Market St, Greensboro, NC 27407-1303 2020-06-04
1205472529 Hayley Cullen Cassiano Speech-Language Pathologist 3504 Flint St Apt B103, Greensboro, NC 27405-3273 2019-11-21
1437712866 Ashley Nicole Mathews Speech-Language Pathologist 4010 Saltee Rd, Greensboro, NC 27406-6432 2019-04-22
1285117762 Anastazia Juszczak Gray Speech-Language Pathologist 1131 N. Church St, Greensboro, NC 27401 2018-09-11
1528561651 Julia Mangum Speech-Language Pathologist 4500 Eldorado Dr, Greensboro, NC 27406-9307 2018-03-15
1205341831 Blanca Segovia Speech-Language Pathologist 4030 Southview Dr, Greensboro, NC 27407-9739 2017-12-05
1811408727 Christopher Atkins Speech-Language Pathologist 524 Highland Ave. 300 Ferguson Building, Greensboro, NC 27402-2740 2017-10-18
1205384302 Monique Goring Speech-Language Pathologist 3205 Pleasant Garden Rd, Apt 2g, Greensboro, NC 27406-4675 2016-09-17
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City GREENSBORO
Zip Code 27410

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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