Doctor Name: | MR. JAMES L LUDLOW |
NPI Number: | 1114118890 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.ED. CCC-SLP |
License Number: | SLP5448 |
Business Practice Address: | 1362 N Casa Grande Ave Casa Grande, AZ - 852222648 |
Business Phone Number: | 5203163303 |
Business Fax Number: | |
Mailing Address: | 5656 E Grant Rd, Suite 100 TUCSON |
State: | AZ |
Postal Code: | 857122210 |
Phone Number: | 5208859567 |
Fax Number: | 5208859568 |
NPI Enumeration Date: | 08/07/2007 |
NPI Last Update Date: | 08/07/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP5448 |
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 |