Provider Demographics
NPI:1811080070
Name:YOUNG, JILL ANN (AUD)
Entity type:Individual
Prefix:DR
First Name:JILL
Middle Name:ANN
Last Name:YOUNG
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
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Mailing Address - Street 1:2280 OPITZ BLVD
Mailing Address - Street 2:SUITE 340
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191
Mailing Address - Country:US
Mailing Address - Phone:703-878-0777
Mailing Address - Fax:703-583-1777
Practice Address - Street 1:2280 OPITZ BLVD
Practice Address - Street 2:SUITE 340
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191
Practice Address - Country:US
Practice Address - Phone:703-878-0777
Practice Address - Fax:703-583-1777
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2010-11-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA2201001239237600000X
VA2101001489237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter