Provider Demographics
NPI:1508131541
Name:PATRICIA K. YOUNGMAN, INC.
Entity Type:Organization
Organization Name:PATRICIA K. YOUNGMAN, INC.
Other - Org Name:BEST COGNICARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:K
Authorized Official - Last Name:YOUNGMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SP
Authorized Official - Phone:206-619-2263
Mailing Address - Street 1:PO BOX 1113
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-0042
Mailing Address - Country:US
Mailing Address - Phone:206-619-2263
Mailing Address - Fax:425-427-9110
Practice Address - Street 1:1808 RICHARDS RD
Practice Address - Street 2:SUITE 113
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-3982
Practice Address - Country:US
Practice Address - Phone:206-619-2263
Practice Address - Fax:425-427-9110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-08
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA602239383235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty