Provider Demographics
NPI:1093240087
Name:BUFFINGTON, JUDITH (MA CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:
Last Name:BUFFINGTON
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:JUDITH
Other - Middle Name:
Other - Last Name:COMSTOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CCC-SLP
Mailing Address - Street 1:1031 TIMBER RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:OH
Mailing Address - Zip Code:44044-8400
Mailing Address - Country:US
Mailing Address - Phone:216-570-6345
Mailing Address - Fax:
Practice Address - Street 1:1031 TIMBER RIDGE RD
Practice Address - Street 2:
Practice Address - City:GRAFTON
Practice Address - State:OH
Practice Address - Zip Code:44044-8400
Practice Address - Country:US
Practice Address - Phone:216-570-6345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-27
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP-3478235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist