| Doctor Name: | JUDITH YACKS |
| NPI Number: | 1558762294 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | SP1048 |
| Business Practice Address: | 5 E Main St Amelia, OH - 451021943 |
| Business Phone Number: | 5139433813 |
| Business Fax Number: | 5139433642 |
| Mailing Address: | 5 E Main St, AMELIA |
| State: | OH |
| Postal Code: | 451021943 |
| Phone Number: | 5139433813 |
| Fax Number: | 5139433642 |
| NPI Enumeration Date: | 09/12/2014 |
| NPI Last Update Date: | 09/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP1048 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| 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 |