Kristin Ann Youngdahl in Philadelphia - Specialist
Kristin Ann Youngdahl - NPI 1194923771
Kristin Ann Youngdahl is a Specialist in Philadelphia, Pennsylvania. Kristin Ann Youngdahl practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kristin Ann Youngdahl is 1194923771. The last update date is 2007-07-08.
Kristin Ann Youngdahl's current location address is 9553 Walley Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2156053186 and fax number 2156773279. The mailing address for Kristin Ann Youngdahl is 9553 Walley Ave, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristin Ann Youngdahl |
|---|---|
| Address | 9553 Walley Ave, Philadelphia, Pennsylvania |
| Phone Number | 2156053186 |
| Fax Number | 2156773279 |
| Sole Proprietor | Y |
| Credentials | M.A., CCC- |
NPI Number Detail
| NPI Number | 1194923771 |
|---|---|
| Provider Enumeration Date | 2007-07-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9553 Walley Ave |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191153009 |
| Phone Number | 2156053186 |
| Fax Number | 2156773279 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | SL004231L |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 101667233 | PA | MEDICAL ASSISTANCE NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Kristin Ann Youngdahl by the Centers for Medicare & Medicaid Services (CMS)?
The Kristin Ann Youngdahl has been assigned the NPI (National Provider Identifier) 1194923771. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Kristin Ann Youngdahl is located?
The Kristin Ann Youngdahl is situated at the following address: 9553 Walley Ave, Philadelphia, PA, 191153009.
What is Kristin Ann Youngdahl's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kristin Ann Youngdahl's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Kristin Ann Youngdahl receive the assignment of its 1194923771 from the Centers for Medicare & Medicaid Services?
The Kristin Ann Youngdahl was issued its 1194923771 by the Centers for Medicare & Medicaid Services on 2007-07-05.
When was the information regarding Kristin Ann Youngdahl most recently updated?
The details pertaining to the Kristin Ann Youngdahl, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1972506228
Address: 2102 Treasure Hills Blvd Ste 3.14406, Harlingen, TX