Provider Demographics
NPI:1346663788
Name:SELKER-ADAMS, JUDITH MORISHA (BS;MED)
Entity Type:Individual
Prefix:MISS
First Name:JUDITH
Middle Name:MORISHA
Last Name:SELKER-ADAMS
Suffix:
Gender:F
Credentials:BS;MED
Other - Prefix:
Other - First Name:JUDITH
Other - Middle Name:M
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BS:MED
Mailing Address - Street 1:16772 CORAL CAY LN
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-2907
Mailing Address - Country:US
Mailing Address - Phone:562-592-3267
Mailing Address - Fax:
Practice Address - Street 1:16772 CORAL CAY LN
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92649-2907
Practice Address - Country:US
Practice Address - Phone:562-592-3267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-21
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3439235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist