Doctor Name: | MRS. KRISTIN JANA DUDA |
NPI Number: | 1134346703 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., SLP-CCC |
License Number: | 04126 |
Business Practice Address: | 7300 Golden Fern Ct Elkridge, MD - 210755946 |
Business Phone Number: | 4107968499 |
Business Fax Number: | 4432708260 |
Mailing Address: | 4930 Clearwater Dr, ELLICOTT CITY |
State: | MD |
Postal Code: | 210436682 |
Phone Number: | 4104615045 |
Fax Number: | |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 04126 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
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 |