Provider Demographics
NPI:1932809381
Name:YOUNG, SHAQWASHIA (SLPA)
Entity Type:Individual
Prefix:
First Name:SHAQWASHIA
Middle Name:
Last Name:YOUNG
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 CRAZY HORSE DR
Mailing Address - Street 2:
Mailing Address - City:AUBREY
Mailing Address - State:TX
Mailing Address - Zip Code:76227-1403
Mailing Address - Country:US
Mailing Address - Phone:469-328-3575
Mailing Address - Fax:
Practice Address - Street 1:230 E HUNT ST
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-3820
Practice Address - Country:US
Practice Address - Phone:972-332-0084
Practice Address - Fax:972-784-5529
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Single Specialty