Provider Demographics
NPI:1982727871
Name:YOUNG, JAMIE J (MT-BC)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:J
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NE
Mailing Address - Zip Code:68728-2841
Mailing Address - Country:US
Mailing Address - Phone:402-833-8035
Mailing Address - Fax:
Practice Address - Street 1:311 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NE
Practice Address - Zip Code:68728-2841
Practice Address - Country:US
Practice Address - Phone:402-833-8035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist