Provider Demographics
NPI:1467512020
Name:DONNA S. YOUNTS & ASSOCIATES, INC.
Entity Type:Organization
Organization Name:DONNA S. YOUNTS & ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:S
Authorized Official - Last Name:YOUNTS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:336-885-2033
Mailing Address - Street 1:110 SCOTT AVE
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7834
Mailing Address - Country:US
Mailing Address - Phone:336-885-2033
Mailing Address - Fax:336-476-3888
Practice Address - Street 1:110 SCOTT AVE
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-7834
Practice Address - Country:US
Practice Address - Phone:336-885-2033
Practice Address - Fax:336-476-3888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3094235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7489850Medicaid