Provider Demographics
NPI:1154108793
Name:YOUNES, CHRISTINE (SLPD, CCC-SLP)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:
Last Name:YOUNES
Suffix:
Gender:F
Credentials:SLPD, CCC-SLP
Other - Prefix:
Other - First Name:TINA
Other - Middle Name:
Other - Last Name:YOUNES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SLPD, CCC-SLP
Mailing Address - Street 1:1903 W 36TH ST
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68845-2254
Mailing Address - Country:US
Mailing Address - Phone:308-293-5521
Mailing Address - Fax:
Practice Address - Street 1:3020 CHILDRENS WAY
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-4223
Practice Address - Country:US
Practice Address - Phone:858-576-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35523235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist