Provider Demographics
NPI:1346483187
Name:GERMECK, JUDITH J (MS, CCC; SLP)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:J
Last Name:GERMECK
Suffix:
Gender:F
Credentials:MS, CCC; SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1326 CEDAR RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-4916
Mailing Address - Country:US
Mailing Address - Phone:956-755-9939
Mailing Address - Fax:
Practice Address - Street 1:1326 CEDAR RIDGE DR
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-4916
Practice Address - Country:US
Practice Address - Phone:956-755-9939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-09
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11143235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist