Individual
MRS. JUDITH LYNNE PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
(480) 472-0727
(480) 472-0705
Mailing address
1051 N ABNER, MESA, AZ 85205-5530
(480) 830-8618
(480) 472-8484
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0513
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
579683
—
AZ
Enumeration date
12/18/2006
Last updated
07/09/2007
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