Provider Demographics
NPI:1538313119
Name:NEMZER, JUDITH RACHEL (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:RACHEL
Last Name:NEMZER
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Gender:F
Credentials:MA, CCC-SLP
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Mailing Address - Street 1:7711 35TH AVENUE
Mailing Address - Street 2:4K
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NEW YORK
Mailing Address - Zip Code:11372
Mailing Address - Country:UM
Mailing Address - Phone:718-424-4145
Mailing Address - Fax:718-424-4145
Practice Address - Street 1:7711 35TH AVENUE
Practice Address - Street 2:4K
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NEW YORK
Practice Address - Zip Code:11372
Practice Address - Country:UM
Practice Address - Phone:718-424-4145
Practice Address - Fax:718-424-4145
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-10
Last Update Date:2008-11-10
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Provider Licenses
StateLicense IDTaxonomies
NY000707-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist