Provider Demographics
NPI:1174004865
Name:YOUNG, LEVI (AUD)
Entity Type:Individual
Prefix:DR
First Name:LEVI
Middle Name:
Last Name:YOUNG
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3202 W ANDERSON LN STE 208
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-1035
Mailing Address - Country:US
Mailing Address - Phone:512-879-3993
Mailing Address - Fax:
Practice Address - Street 1:3202 W ANDERSON LN STE 208
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-1035
Practice Address - Country:US
Practice Address - Phone:512-879-3993
Practice Address - Fax:512-920-5462
Is Sole Proprietor?:No
Enumeration Date:2018-08-22
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81100237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter