Provider Demographics
NPI:1588842777
Name:JUDKINS, WAYNE ALTON (MS)
Entity Type:Individual
Prefix:MR
First Name:WAYNE
Middle Name:ALTON
Last Name:JUDKINS
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1593 230TH ST
Mailing Address - Street 2:
Mailing Address - City:WEBSTER CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50595-7591
Mailing Address - Country:US
Mailing Address - Phone:515-297-4687
Mailing Address - Fax:
Practice Address - Street 1:1593 230TH ST
Practice Address - Street 2:
Practice Address - City:WEBSTER CITY
Practice Address - State:IA
Practice Address - Zip Code:50595-7591
Practice Address - Country:US
Practice Address - Phone:515-297-4687
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-10
Last Update Date:2008-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor