Doctor Name: | MRS. JUDY MARIE ABRAHAM |
NPI Number: | 1093968711 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | SLP1008 |
Business Practice Address: | 4960 S Alma School Rd Ste 21 Chandler, AZ - 852485573 |
Business Phone Number: | 4808838160 |
Business Fax Number: | 4808838306 |
Mailing Address: | 4960 S Alma School Rd Ste 21, CHANDLER |
State: | AZ |
Postal Code: | 852485573 |
Phone Number: | 4808838160 |
Fax Number: | 4808838306 |
NPI Enumeration Date: | 10/25/2008 |
NPI Last Update Date: | 10/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP1008 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |