Provider Demographics
NPI:1114118890
Name:LUDLOW, JAMES L (MED CCC-SLP)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:L
Last Name:LUDLOW
Suffix:
Gender:M
Credentials:MED CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1749 E CABORCA DR
Mailing Address - Street 2:
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85122-6382
Mailing Address - Country:US
Mailing Address - Phone:520-431-8830
Mailing Address - Fax:520-885-9568
Practice Address - Street 1:1362 N CASA GRANDE AVE
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85222-2648
Practice Address - Country:US
Practice Address - Phone:520-316-3303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-07
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP5448235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist