| Doctor Name: | MS. JUDITH KROOVAND |
| NPI Number: | 1255754560 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MASTERS IN SPEECH/LA |
| License Number: | SZ 6536 |
| Business Practice Address: | 4875 Palm Coast Pkwy Nw Suite 2 Palm Coast, FL - 321373670 |
| Business Phone Number: | 3864469935 |
| Business Fax Number: | 3864467777 |
| Mailing Address: | 12 Chippeway Ct, PALM COAST |
| State: | FL |
| Postal Code: | 321378934 |
| Phone Number: | 3864451150 |
| Fax Number: | |
| NPI Enumeration Date: | 01/23/2014 |
| NPI Last Update Date: | 01/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SZ 6536 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| 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 |