Provider Demographics
NPI:1386904233
Name:YOUNG, BRIANNA (AUD)
Entity type:Individual
Prefix:DR
First Name:BRIANNA
Middle Name:
Last Name:YOUNG
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 SALT CREEK LN
Mailing Address - Street 2:SUITE 106
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-8605
Mailing Address - Country:US
Mailing Address - Phone:630-981-0032
Mailing Address - Fax:630-241-0884
Practice Address - Street 1:12 SALT CREEK LN
Practice Address - Street 2:SUITE 106
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-8605
Practice Address - Country:US
Practice Address - Phone:630-981-0032
Practice Address - Fax:630-241-0884
Is Sole Proprietor?:No
Enumeration Date:2012-05-25
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147001401231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist