Provider Demographics
NPI:1326383555
Name:LUDLOW, CHRISTY LESLIE (PHD)
Entity Type:Individual
Prefix:PROF
First Name:CHRISTY
Middle Name:LESLIE
Last Name:LUDLOW
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 CARRIER DR
Mailing Address - Street 2:MSC 4304
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22807-0001
Mailing Address - Country:US
Mailing Address - Phone:540-568-3876
Mailing Address - Fax:540-568-6492
Practice Address - Street 1:801 CARRIER DR
Practice Address - Street 2:MSC 4304
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22807-0001
Practice Address - Country:US
Practice Address - Phone:540-568-3876
Practice Address - Fax:540-568-6492
Is Sole Proprietor?:No
Enumeration Date:2012-11-28
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202005743235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist