Provider Demographics
NPI:1316147093
Name:YOUNGS, CHELSEA EILEEN (MS)
Entity type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:EILEEN
Last Name:YOUNGS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10250 E MOUNTAIN VIEW RD
Mailing Address - Street 2:APT 268
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85258
Mailing Address - Country:US
Mailing Address - Phone:480-649-8196
Mailing Address - Fax:
Practice Address - Street 1:2802 E MCDOWELL RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85008-3617
Practice Address - Country:US
Practice Address - Phone:602-381-6060
Practice Address - Fax:602-381-6047
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-20
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZTSLP5528235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist