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NPI Code Detail

MEDICARE: DR. DOROTHY YANG PHD, CCC-SLP

MEDICARE:  DR. DOROTHY  YANG  PHD, CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist31810CA

General Provider Information

NPI Number : 1912737115
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DOROTHY YANG PHD, CCC-SLP
Provider Business Mailing Address
First Line : 6314 FRIARS RD UNIT 306
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-1016
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6314 FRIARS RD UNIT 306
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-1016
Country : US
Telephone Number : 804-357-6683
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2024
Last Update Date : 08/03/2024

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Directions to “ DR. DOROTHY YANG PHD, CCC-SLP” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.