| Doctor Name: | MRS. JUDITH ANN DYRENFORTH |
| NPI Number: | 1235466749 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SPEECH PATHOLOGIST |
| License Number: | SP-1944 |
| Business Practice Address: | 398 Hamilton Ave Fairbanks, AK - 997013537 |
| Business Phone Number: | 9073744911 |
| Business Fax Number: | 9073744934 |
| Mailing Address: | 398 Hamilton Ave, FAIRBANKS |
| State: | AK |
| Postal Code: | 997013537 |
| Phone Number: | 9073744911 |
| Fax Number: | 9073744934 |
| NPI Enumeration Date: | 11/05/2009 |
| NPI Last Update Date: | 10/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP-1944 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ME |
| 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 |