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
Phone: (301) 864-2333
Fax: (877) 828-2060
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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