Lore Rae Young MA, CCC,#4746

NPI 1184742173 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1184742173
Gender Female
Enumeration Date 03/27/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
10992 SAN DIEGO MISSION RD
SAN DIEGO CA, 92108-2444, US
Phone (619) 461-4663
Fax
Business Location
3843 MURRAY HILL RD
LA MESA CA, 91941-7621, US
Phone (619) 466-4308
Fax (619) 466-0814
Toxanomy
Taxonomy Code 235Z00000X
License State California
License Number 4746
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According to our database, Ms. Lore Rae Young MA, CCC,#4746 NPI is 1184742173, taxonomy code is 235Z00000X and license number is 4746, license state is located at California. Lore Rae Young MA, CCC,#4746 physically located at 10992 San Diego Mission Rd, San Diego CA, 92108-2444. NPI Number Lore Rae Young MA, CCC,#4746 has the Individual type.

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1184742173 NPI number is provided on an as is basis without warranty of any kind. 1184742173 is maintained by the National Plan & Provider Enumeration System. The contents of Lore Rae Young MA, CCC,#4746 are for informational purposes only.