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Ms. Kristin Ann Youngdahl, MA,CCC-SLP
Specialist in Philadelphia, Pennsylvania
NPI 1194923771

Kristin Ann Youngdahl is a Specialist based in Philadelphia, PA. Kristin Ann Youngdahl practices in Philadelphia, PA and has the professional credentials of MA,CCC-SLP. The NPI Number for Kristin Ann Youngdahl is 1194923771 and holds a License No. SL004231L (Pennsylvania).

The current practice location address for Kristin Ann Youngdahl is 9553 Walley Ave, Philadelphia, PA and can be reached out via phone at 215-605-3186 and via fax at 215-677-3279.

Location: 9553 Walley Ave, Philadelphia, PA, 19115-3009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194923771
Provider Name
Kristin Ann Youngdahl
Credential
MA,CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
9553 Walley Ave, Philadelphia, PA, 19115-3009
Phone Number
215-605-3186
Fax Number
215-677-3279
Provider Enumeration Date
07/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101667233 01 PA MEDICAL ASSISTANCE NUMBER
institution
Provider Business Practice Location Address Details
Address
9553 Walley Ave
City
Philadelphia
State
Pennsylvania
Zip
19115-3009
Phone Number
215-605-3186
Fax Number
215-677-3279
person
Provider Business Mailing Address Details
Address
9553 Walley Ave
City
Philadelphia
State
Pennsylvania
Zip
19115-3009
Phone Number
215-605-3186
Fax Number
215-677-3279
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
SL004231L (Pennsylvania)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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