Monica Dawn Judy in Broken Arrow - Speech-language Pathologist
Monica Dawn Judy - NPI 1508057498
Monica Dawn Judy is a Speech-language Pathologist in Broken Arrow, Oklahoma. Monica Dawn Judy practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Monica Dawn Judy is 1508057498. The last update date is 2010-01-07.
Monica Dawn Judy's current location address is 2208 W Detroit St Ste 101, Broken Arrow, Oklahoma. You can contact this provider via phone number 9188060106 and fax number 9188060113. The mailing address for Monica Dawn Judy is 2208 W Detroit St Ste 101, Broken Arrow, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Monica Dawn Judy |
|---|---|
| Address | 2208 W Detroit St Ste 101, Broken Arrow, Oklahoma |
| Phone Number | 9188060106 |
| Fax Number | 9188060113 |
| Sole Proprietor | N |
| Credentials | M.S CCC-SL |
NPI Number Detail
| NPI Number | 1508057498 |
|---|---|
| Provider Enumeration Date | 2007-08-06 |
| Last Updated Date | 2010-01-07 |
Provider Mailing Address Detail
| Address | 2208 W Detroit St Ste 101 |
|---|---|
| City | Broken Arrow |
| State | Oklahoma (OK) |
| Post Code | 740123630 |
| Phone Number | 9188060106 |
| Fax Number | 9188060113 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 3116 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200049340A | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Monica Dawn Judy by the Centers for Medicare & Medicaid Services?
The Monica Dawn Judy has been assigned the NPI (National Provider Identifier) 1508057498 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Monica Dawn Judy is located?
The Monica Dawn Judy is situated at the following address: 2208 W Detroit St Ste 101, Broken Arrow, OK, 740123630.
What is Monica Dawn Judy's specialized field of practice, and what is the corresponding taxonomy classification code?
The Monica Dawn Judy's area of specialization is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this field of practice is 235Z00000X.
On what date did the Monica Dawn Judy receive its 1508057498 assignment from the Centers for Medicare & Medicaid Services?
The Monica Dawn Judy was assigned its 1508057498 by the Centers for Medicare & Medicaid Services on 2007-08-06.
As of what date were the details pertaining to Monica Dawn Judy last refreshed?
The information related to the Monica Dawn Judy, including its address, specialty, and other relevant details, was last updated on 2010-01-07.