Individual
CATHARINE WHITEHOUSE JUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
912 KILLIAN HILL RD SW, SUITE 103, LILBURN, GA 30047-3138
(770) 638-7200
(770) 638-7265
Mailing address
912 KILLIAN HILL ROAD SW, SUITE 103, LILBURN, GA 30047
(770) 638-7200
(770) 638-7265
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP000574
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10054036
AMERIGROUP CORPORATION
GA
01
—
331765
WELLCARE HEALTH PLANS
GA
01
—
52172949001
BLUE CROSS BLUE SHIELD
GA
01
—
7571771
AETNA
GA
Enumeration date
12/12/2006
Last updated
07/09/2007
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