Individual
JUDITH FORNADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1514 JEFFERSON HWY, DEPT OF OTOLARYNGOLOGY, NEW ORLEANS, LA 70121-2429
(504) 842-3708
Mailing address
1514 JEFFERSON HWY, DEPT OF OTOLARYNGOLOGY, NEW ORLEANS, LA 70121-2429
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7192
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01189349
—
MS
Enumeration date
06/30/2015
Last updated
11/17/2015
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