Doctor Name: | MRS. JUDY IMHAUSER |
NPI Number: | 1174754287 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | |
Business Practice Address: | 1000 W Stone St Fayetteville, AR - 727015653 |
Business Phone Number: | 4794443000 |
Business Fax Number: | |
Mailing Address: | 1303 Quail Meadows Ave, BETHEL HEIGHTS |
State: | AR |
Postal Code: | 727648426 |
Phone Number: | 6604739242 |
Fax Number: | |
NPI Enumeration Date: | 08/06/2009 |
NPI Last Update Date: | 08/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |