Provider Demographics
NPI:1194827477
Name:SCHAFER, JUDY D'AMICO (PHD, CCC-A)
Entity Type:Individual
Prefix:DR
First Name:JUDY
Middle Name:D'AMICO
Last Name:SCHAFER
Suffix:
Gender:F
Credentials:PHD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5613 LAMAR ROAD
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20816-1349
Mailing Address - Country:US
Mailing Address - Phone:301-320-5825
Mailing Address - Fax:
Practice Address - Street 1:50 IRVING STREET NW
Practice Address - Street 2:VA MEDICAL CENTER AUDIOLOGY SVC #126
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20422-0001
Practice Address - Country:US
Practice Address - Phone:202-745-8270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT000875L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist