Provider Demographics
NPI:1457656001
Name:ASKINS, JUDITH CLARE (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:CLARE
Last Name:ASKINS
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1722 BRIDGEVIEW LN
Mailing Address - Street 2:APT. 5
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40242-3943
Mailing Address - Country:US
Mailing Address - Phone:585-355-5819
Mailing Address - Fax:
Practice Address - Street 1:1722 BRIDGEVIEW LN
Practice Address - Street 2:APT. 5
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40242-3943
Practice Address - Country:US
Practice Address - Phone:585-355-5819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-12
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3843235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist