Provider Demographics
NPI:1619248101
Name:LACROSSE-YOUNG, BARBARA J (AT, HIS)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:J
Last Name:LACROSSE-YOUNG
Suffix:
Gender:F
Credentials:AT, HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7525 CUSTER RD W
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-8138
Mailing Address - Country:US
Mailing Address - Phone:253-476-4327
Mailing Address - Fax:253-476-0585
Practice Address - Street 1:6002 WESTGATE BLVD STE 278
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98406-2571
Practice Address - Country:US
Practice Address - Phone:253-627-7441
Practice Address - Fax:253-627-7474
Is Sole Proprietor?:No
Enumeration Date:2012-01-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAHA60239659237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist