Individual
KATHERINE JUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(314) 989-8100
Mailing address
17010 MAIN ST, WILDWOOD, MO 63040-1237
(314) 852-7986
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2021024908
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
NA
—
Enumeration date
08/11/2021
Last updated
01/27/2022
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