IndividualActive
Jacqueline Young, PHT, CCMA,
NPI 1912799701 · Speech/Language/Hearing Specialist/Technologist · Hephzibah, GA
Provider details
- NPI number
- 1912799701
- Entity type
- Individual
- Primary specialty
- Speech/Language/Hearing Specialist/TechnologistSpeech, Language and Hearing Service Providers
- Credential
- PHT, CCMA,
- Sex
- Female
- Sole proprietor
- Yes
- License
- 10210250 (GA)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
2760 Raborn Rd
Hephzibah, GA 30815-4947
Phone: (706) 831-2065
Approximate (ZIP-level) locationGet directions
Mailing address
2760 Raborn Rd
Hephzibah, GA 30815-4947
Registry dates
- Enumerated
- 2025-05-19
- Last updated
- 2025-05-19
- Certified
- 2025-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.