Active NPIIndividual providerSole proprietor

Indigo Young, MS, CCC-SLP

Speech-Language Pathologist, in Dorchester, Massachusetts

NPI Number1306457361
Practice location
11 Island View Pl, Dorchester, MA 02125-3262
Fax
—
Last updated
August 13, 2020

Indigo Young is a Speech-Language Pathologist, based in Dorchester, MA. Indigo Young practices in Dorchester, MA and has the professional credentials of MS, CCC-SLP. The NPI Number for Indigo Young is 1306457361 and holds a License No. 14066940. The current practice location address for Indigo Young is 11 Island View Pl, Dorchester, MA 02125-3262 and can be reached out via phone at 617-935-7562.

Provider Profile Details

NPI Number
1306457361
Provider Name
Indigo Young
Credential
MS, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
11 Island View Pl, Dorchester, MA 02125-3262
Phone Number
617-935-7562
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 13, 2020
Last Update Date
August 13, 2020
Certification Date
August 13, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Island View Pl
Dorchester, MA 02125-3262
Zip
02125-3262
Phone Number
617-935-7562
Dorchester, MA 02125Get directions →

Provider Business Mailing Address Details

Address
16 Island View Pl Apt 119
Boston, MA 02125-3245
City
Boston
State
MA
Zip
02125-3245
Phone Number
617-935-7562

License Information

Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X
License Number (2)
14066940
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Indigo Young, MS, CCC-SLP?

The NPI number of Indigo Young, MS, CCC-SLP is 1306457361. It was assigned on August 13, 2020 and is currently active in the NPPES registry.

What is the specialty of Indigo Young, MS, CCC-SLP?

Indigo Young, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed under license number 14066940.

Where does Indigo Young, MS, CCC-SLP practice?

The practice location is 11 Island View Pl, Dorchester, MA 02125-3262. The office can be reached at 617-935-7562 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306457361 directly on the NPPES registry website.

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