Doctor Name: | MS. DIANE FORMAN JUDD |
NPI Number: | 1609955020 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC - SLP |
License Number: | 733 |
Business Practice Address: | 358 N Pleasant St Center For Language, Speech And Hearing Amherst, MA - 010039296 |
Business Phone Number: | 4135774203 |
Business Fax Number: | 4135450803 |
Mailing Address: | 358 N Pleasant St, Center For Language, Speech And Hearing AMHERST |
State: | MA |
Postal Code: | 010039296 |
Phone Number: | 4135774203 |
Fax Number: | 4135450803 |
NPI Enumeration Date: | 11/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 733 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |