Provider Demographics
NPI:1770826992
Name:YOUNG, SONJA KAY (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SONJA
Middle Name:KAY
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:SONJA
Other - Middle Name:KAY
Other - Last Name:GRABBE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:840 WHISPERING OAK DR
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-7804
Mailing Address - Country:US
Mailing Address - Phone:719-644-1330
Mailing Address - Fax:
Practice Address - Street 1:840 WHISPERING OAK DR
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-7804
Practice Address - Country:US
Practice Address - Phone:719-644-1330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-05
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist