Provider Demographics
NPI:1457638793
Name:MCELHENNEY-YOUNG, JULIE ELLEN (OTR/L)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:ELLEN
Last Name:MCELHENNEY-YOUNG
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 DUBLIN DR
Mailing Address - Street 2:
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-5404
Mailing Address - Country:US
Mailing Address - Phone:484-343-4513
Mailing Address - Fax:
Practice Address - Street 1:600 REISTERSTOWN RD
Practice Address - Street 2:SUITE 208
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-5104
Practice Address - Country:US
Practice Address - Phone:410-415-5375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-15
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05174225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist