INDIGO YOUNG


Address: 11 Island View Pl, Dorchester, MA 02125-3262
Phone: 6179357562

INDIGO YOUNG (NPI# 1306457361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306457361
Entity Type Individual
Full Name INDIGO YOUNG
Credential MS, CCC-SLP
Practice Address 11 Island View Pl
Dorchester
MA 02125-3262
Mailing Address 16 Island View Pl Apt 119
Boston
MA 02125-3245
Practice Telephone 6179357562
Mailing Telephone 6179357562
Enumeration Date 2020-08-13
Last Update Date 2020-08-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 14066940 Speech, Language and Hearing Service Providers
N 235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers

Office Location

Street Address 11 ISLAND VIEW PL
City DORCHESTER
State MA
Zip Code 02125-3262

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922520840 Aj Guerrero Counselor 6 Glen St. #3, Boston, MA 02125 2017-07-12
1982059218 Ana Fernandez Psychologist University of Massachusetts, Boston, 100 William T. Morrissey Blvd, Boston, MA 02125 2016-04-23
1558725184 Algecira Garcia-ortiz Massage Therapist 12 Judson St, Dorchester, MASSACHUSETTS 02125 2016-04-10
1508251414 Sing Hong Ty Registered Nurse 415 Colombia Rd, Dorchester, MA 02125 2015-03-30
1972806750 Joanne Pomales Counselor 18 Harbor Crest Court 102, Dorchester, MA 02125 2010-12-16
1386969335 Kara Jillian Sheridan Counselor 58 Dorset St, Boston, MA 02125 2010-04-02
1750533956 Wendy M. Jern Physical Therapist 21riley Rd #2, Hyde Park, MA 02125 2008-10-21
1174729743 Payton Brandyberry Counselor 500 Columbia Rd, Mail Stop 415-05, Upham's Corner Health Center, Dorchester, MA 02125 2007-06-21
1699817247 Dong Lan Corporation Pharmacist 1167 A Dorchester Ave, Dorchester, MA 02125 2007-02-12
1457490153 Sarah L Merin Social Worker Upham's Corner Health Center, 500 Columbia Rd, Mailstop 415-05, Dorchester, MA 02125 2007-02-06
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457852188 Kelly Ann Mcclintock Speech-Language Pathologist 198 Geneva Ave, Dorchester, MA 02121-3860 2018-02-27
1831617810 Cheryl Perkins Speech-Language Pathologist 506 W 9th Street, Dorchester, NE 68343 2017-08-30
1710120910 Tessa Morrell Speech-Language Pathologist 5 Woodworth St, Dorchester, MA 02122-3161 2009-04-17
1568665214 Amanda Meredith Kasica Speech-Language Pathologist 105 Victory Road, Dorchester, MA 02122 2007-06-08
1386869725 Lisa Hastings Speech-Language Pathologist 35 Elder St, Dorchester, MA 02125-2212 2007-04-13
1275142580 Jocelyn Chokkattu Speech-Language Pathologist 105 Victory Rd, Dorchester, MA 02122-3518 2020-07-23
1366051518 Alissa Nicole Glowacki Speech-Language Pathologist 105 Victory Rd, Dorchester, MA 02122-3518 2020-07-23
1639739287 Lauren Sophia Kosky Speech-Language Pathologist 105 Victory Rd, Dorchester, MA 02122-3518 2019-06-17
1346766367 Rebecka Kathryn Henry Speech-Language Pathologist 105 Victory Rd, Dorchester, MA 02122-3518 2017-08-22
1023467248 Amy Michelle David Speech-Language Pathologist 105 Victory Rd, Dorchester, MA 02122-3518 2016-06-08
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Competitor

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City DORCHESTER
Zip Code 02125

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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