Provider Demographics
NPI:1568295392
Name:YOUNG, LASHUNDRA COLLINS (CCC-SLP)
Entity type:Individual
Prefix:
First Name:LASHUNDRA
Middle Name:COLLINS
Last Name:YOUNG
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9408 JULIETTE DR
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-3547
Mailing Address - Country:US
Mailing Address - Phone:240-350-9752
Mailing Address - Fax:
Practice Address - Street 1:1801 MISSISSIPPI AVE SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-6120
Practice Address - Country:US
Practice Address - Phone:240-350-9752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist