Doctor Name: | RACHEL D JUDISCH |
NPI Number: | 1295873982 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SPEECH THERAPIST |
License Number: | 01548 |
Business Practice Address: | 315 W 5th St Storm Lake, IA - 505881743 |
Business Phone Number: | 7127327725 |
Business Fax Number: | 7127325153 |
Mailing Address: | 803 3rd St, LAKE VIEW |
State: | IA |
Postal Code: | 514507426 |
Phone Number: | 7127327725 |
Fax Number: | 7127325153 |
NPI Enumeration Date: | 02/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 01548 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
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 |