Provider Demographics
NPI:1053836692
Name:YOUNG, ALLISON MARIE (MS)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:MARIE
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3924 NEELY RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72206-7434
Mailing Address - Country:US
Mailing Address - Phone:501-234-2440
Mailing Address - Fax:
Practice Address - Street 1:142 HOLLYWOOD AVE
Practice Address - Street 2:
Practice Address - City:SHERWOOD
Practice Address - State:AR
Practice Address - Zip Code:72120-4162
Practice Address - Country:US
Practice Address - Phone:501-833-1200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-04
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist