TIMOTHY LEE DEYOUNG MA, CCC-SLP
NPI 1538757356
Speech-Language Pathologist in Plymouth, MN

Active since January 07, 2021
2600 FERNBROOK LN N STE 138, PLYMOUTH, MN 55447(952) 544-0349 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Timothy Lee Deyoung Ma, Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY LEE DEYOUNG MA, CCC-SLP (NPI 1538757356) is an individual speech-language pathologist provider in Plymouth, Minnesota, licensed in Minnesota (10295) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1538757356
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameTIMOTHY LEE DEYOUNGCredential: MA, CCC-SLP
Location Address2600 FERNBROOK LN N STE 138Plymouth, MN 55447-4752
Mailing Address3526 Grimes Ave NRobbinsdale, MN 55422-2838 · (218) 252-2448
Sole ProprietorNo
Enumeration DateJanuary 7, 2021
NPPES CertifiedJanuary 7, 2021
NPI 1538757356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in MN · 10295
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.

2600 FERNBROOK LN N STE 138, Plymouth, MN 55447

Accepted Insurance

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
2600 FERNBROOK LN N STE 138
PLYMOUTH, MN 55447
Psychologist (Clinical)
2600 FERNBROOK LN N STE 138
PLYMOUTH, MN 55447
Behavior Technician
2600 FERNBROOK LN N STE 138
PLYMOUTH, MN 55447
Behavior Technician
2600 FERNBROOK LN N STE 138
PLYMOUTH, MN 55447
Behavior Analyst
2600 FERNBROOK LN N STE 138
PLYMOUTH, MN 55447
Behavior Technician
2600 FERNBROOK LN N STE 138
PLYMOUTH, MN 55447
Behavior Technician
2600 FERNBROOK LN N STE 138
PLYMOUTH, MN 55447
Behavior Technician
2600 FERNBROOK LN N STE 138
PLYMOUTH, MN 55447

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538757356, enumerated as an "individual" on January 07, 2021.

The provider is located at 2600 FERNBROOK LN N STE 138 PLYMOUTH, MN 55447 and the phone number is (952) 544-0349.

Speech-Language Pathologist with taxonomy code 235Z00000X.

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.