Individual
KATHLEEN ANN JUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC/SLP
Contact information
Practice address
204 FRANKLIN ST, DENTON, MD 21629-1210
(410) 479-1460
Mailing address
204 FRANKLIN ST, DENTON, MD 21629-1210
(410) 479-1460
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01812
MD
Other
Enumeration date
11/15/2018
Last updated
05/23/2023
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