Provider Demographics
NPI:1386202364
Name:YOUNG, ALISON CHRISTINE (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:CHRISTINE
Last Name:YOUNG
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:MS
Other - First Name:ALISON
Other - Middle Name:CHRISTINE
Other - Last Name:WILLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:8871 S AMMONS ST
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-6934
Mailing Address - Country:US
Mailing Address - Phone:303-358-9137
Mailing Address - Fax:
Practice Address - Street 1:8871 S AMMONS ST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80128-6934
Practice Address - Country:US
Practice Address - Phone:303-358-9137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-04
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSLP.0003131235Z00000X
12159401235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
12159401OtherASHA
COSLP.0003131OtherDORA LICENSE COLORADO