Provider Demographics
NPI:1689287120
Name:WITOWSKI-ARGENTINE, JUDITH (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:
Last Name:WITOWSKI-ARGENTINE
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:MS
Other - First Name:JUDITH
Other - Middle Name:MARIE
Other - Last Name:WITOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:4417 WOOD VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-6327
Mailing Address - Country:US
Mailing Address - Phone:609-234-6502
Mailing Address - Fax:
Practice Address - Street 1:5408 BEAUMONT DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-9709
Practice Address - Country:US
Practice Address - Phone:919-493-1974
Practice Address - Fax:919-493-1974
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-25
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13887235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist