Provider Demographics
NPI:1235447962
Name:HAYDEN, JUDITH RAYBOLD (SPEECH LANGUAGE PATH)
Entity Type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:RAYBOLD
Last Name:HAYDEN
Suffix:
Gender:F
Credentials:SPEECH LANGUAGE PATH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 LEARNING LANE
Mailing Address - Street 2:RSU #9 DBA MT. BLUE REGIONAL SCHOOL DISTRICT
Mailing Address - City:FARMINGTON
Mailing Address - State:ME
Mailing Address - Zip Code:04938-7039
Mailing Address - Country:US
Mailing Address - Phone:207-778-9517
Mailing Address - Fax:
Practice Address - Street 1:113 QUEBEC ST
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:ME
Practice Address - Zip Code:04938-6911
Practice Address - Country:US
Practice Address - Phone:207-778-3529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-15
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant