Provider Demographics
NPI:1578991618
Name:WALKER, JUDY PERKINS (PHD, CCC-SLP)
Entity Type:Individual
Prefix:DR
First Name:JUDY
Middle Name:PERKINS
Last Name:WALKER
Suffix:
Gender:F
Credentials:PHD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:336 DUNN HL
Mailing Address - Street 2:UNIVERSITY OF MAINE CONLEY SPEECH, LANGUAGE AND HEARIN
Mailing Address - City:ORONO
Mailing Address - State:ME
Mailing Address - Zip Code:04469-5724
Mailing Address - Country:US
Mailing Address - Phone:207-581-2006
Mailing Address - Fax:207-581-2060
Practice Address - Street 1:5724 DUN HALL RM 336
Practice Address - Street 2:UNIVERSITY OF MAINE
Practice Address - City:ORONO
Practice Address - State:ME
Practice Address - Zip Code:04469-5724
Practice Address - Country:US
Practice Address - Phone:207-581-2006
Practice Address - Fax:207-581-2060
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-29
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MESP945235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist