Healthcare Provider Details

I. General information

NPI: 1063329142
Provider Name (Legal Business Name): MAEGAN YOUNG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6715 7TH ST
RIVERBANK CA
95367-2345
US

IV. Provider business mailing address

616 MARTINGALE DR
OAKDALE CA
95361-8360
US

V. Phone/Fax

Practice location:
  • Phone: 209-869-2538
  • Fax:
Mailing address:
  • Phone: 209-765-8041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number29889
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: