Doctor Name: | JUDITH HAYDEN |
NPI Number: | 1700915402 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP-CCC |
License Number: | 9 |
Business Practice Address: | 17001 Towers Rd Juneau, AK - 998018311 |
Business Phone Number: | 9077897293 |
Business Fax Number: | 9077902664 |
Mailing Address: | Po Box 210076, AUKE BAY |
State: | AK |
Postal Code: | 998210076 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 9 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
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 |