MEDICARE: DR. SCOTT F YOUNG AUD, CCC-A

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
1	231HA2400X	Assistive Technology Practitioner Audiologist	170	OK
2	231H00000X	Audiologist	170	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	243711302	OTHER	OK	PTAN

General Provider Information

NPI Number	:	1861555674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT F YOUNG AUD, CCC-A

Provider Business Mailing Address
First Line	:	5525 E 51ST ST # 500
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74135-7461
Country	:	US
Telephone Number	:	918-388-6644
Fax Number	:

Provider Business Practice Location Address
First Line	:	6550 E 71ST ST STE 101
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-2767
Country	:	US
Telephone Number	:	918-388-6644
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	02/24/2025

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Directions to “ DR. SCOTT F YOUNG AUD, CCC-A” Practice Location

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