Provider Demographics
NPI:1598158776
Name:YOUNG, SARAH (PHD, MS, CCC-SLP)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:
Last Name:YOUNG
Suffix:
Gender:
Credentials:PHD, MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3231 KILBURN PARK CIR
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-4125
Mailing Address - Country:US
Mailing Address - Phone:734-249-9138
Mailing Address - Fax:
Practice Address - Street 1:3231 KILBURN PARK CIR # A
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-4125
Practice Address - Country:US
Practice Address - Phone:734-391-5047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-11
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171400000X, 174H00000X
MI7101006088235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No171400000XOther Service ProvidersHealth & Wellness Coach
No174H00000XOther Service ProvidersHealth Educator