Individual
MRS. JUDITH K SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
300 WINDY HILL DR, LAFAYETTE, IN 47905-2862
(765) 477-7791
(765) 474-2986
Mailing address
2003 TRACE 20, WEST LAFAYETTE, IN 47906-1885
(765) 497-0540
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004390A
IN
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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