Individual
JOANNA JUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
715 SW ANKENY RD, ANKENY, IA 50023-5999
(515) 289-9696
Mailing address
715 SW ANKENY RD, ANKENY, IA 50023-5999
(515) 289-9696
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
073902
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
DC
01
—
568946544
BCBS
—
01
—
5874
HEALTH PARTNERS
—
Enumeration date
11/14/2022
Last updated
11/14/2022
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