NPI 1245638501 · live from the CMS NPI Registry
Judith Anderson
Speech-Language Pathologist, in Wilmington, DE. National Provider Identifier 1245638501, active.
NPI record
| NPI | 1245638501 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 1311 Brandywine Blvd, Wilmington, DE 19809 |
| Practice phone | 302-792-5072 |
| Enumerated | December 18, 2014 |
| Last updated | December 18, 2014 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 01-0001190 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.