Provider Demographics
NPI:1447097530
Name:YOUNG, GRACE MARGARET (AUD, CCC-A)
Entity type:Individual
Prefix:MRS
First Name:GRACE
Middle Name:MARGARET
Last Name:YOUNG
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4220 OCOEE ST N # 102
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37312-2395
Mailing Address - Country:US
Mailing Address - Phone:423-641-0956
Mailing Address - Fax:
Practice Address - Street 1:605 CONGRESS PKWY S
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:TN
Practice Address - Zip Code:37303-2259
Practice Address - Country:US
Practice Address - Phone:423-212-9110
Practice Address - Fax:423-641-0955
Is Sole Proprietor?:No
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter