Provider Demographics
NPI:1376821769
Name:YOUNG, JAMES P (NBC-HIS)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:P
Last Name:YOUNG
Suffix:
Gender:M
Credentials:NBC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 4TH ST SW
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-2819
Mailing Address - Country:US
Mailing Address - Phone:828-322-9323
Mailing Address - Fax:828-322-4166
Practice Address - Street 1:302 4TH ST SW
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-2819
Practice Address - Country:US
Practice Address - Phone:828-322-9323
Practice Address - Fax:828-322-4166
Is Sole Proprietor?:No
Enumeration Date:2011-08-02
Last Update Date:2014-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC386237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist