Provider Demographics
NPI:1932809381
Name:YOUNG, SHAQWASHIA (SLP)
Entity type:Individual
Prefix:
First Name:SHAQWASHIA
Middle Name:
Last Name:YOUNG
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 CRAZY HORSE DR
Mailing Address - Street 2:
Mailing Address - City:AUBREY
Mailing Address - State:TX
Mailing Address - Zip Code:76227-1403
Mailing Address - Country:US
Mailing Address - Phone:469-328-3575
Mailing Address - Fax:
Practice Address - Street 1:4601 MEDICAL CENTER DR # AC1
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-1771
Practice Address - Country:US
Practice Address - Phone:469-850-2909
Practice Address - Fax:888-726-9308
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-06
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty