Basic Information
| Provider Information | |||||||||
| NPI: | 1750528485 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | YOUNG | ||||||||
| FirstName: | SARRAH | ||||||||
| MiddleName: | MARIE | ||||||||
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| Credential: | MS,CCC,SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1321 MURFREESBORO PIKE STE 702 | ||||||||
| Address2: | |||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372172679 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153614000 | ||||||||
| FaxNumber: | 6158151946 | ||||||||
| Practice Location | |||||||||
| Address1: | 1048 ASHLEY ST STE 102 | ||||||||
| Address2: | |||||||||
| City: | BOWLING GREEN | ||||||||
| State: | KY | ||||||||
| PostalCode: | 421032449 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2708435300 | ||||||||
| FaxNumber: | 6158151946 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/16/2009 | ||||||||
| LastUpdateDate: | 02/01/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 02/01/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 142406 | KY | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.