Young, Kristine

Young, Kristine is an individual health care provider with primary practice located at 4922 Lasalle Rd Building-B, Hyattsville MD 20782-3302. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Young, Kristine can be contacted via phone (301) 864-2333.

Contact Information

Primary practice address
4922 Lasalle Rd Building-B Hyattsville MD 20782-3302
Fax: (877) 828-2060
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 06581 Maryland

Profile Details

NPI number 1801157961
LBN Legal business name Young, Kristine
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2012
Last updated Dec 1st, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801157961 NPPES
Maryland Other 46-3684374 TAX ID
Maryland MEDICAID 4374045-00 TAX ID
Maryland Other 1447657507 TAX ID

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