Provider Demographics
NPI:1689821746
Name:STEINER, JUDY CAROL (MS,SLP-CCC)
Entity Type:Individual
Prefix:MRS
First Name:JUDY
Middle Name:CAROL
Last Name:STEINER
Suffix:
Gender:F
Credentials:MS,SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1608 HIGHWAY 41 N
Mailing Address - Street 2:
Mailing Address - City:WINTHROP
Mailing Address - State:AR
Mailing Address - Zip Code:71866-9504
Mailing Address - Country:US
Mailing Address - Phone:870-386-7783
Mailing Address - Fax:
Practice Address - Street 1:305 SOUTH HORNBERG
Practice Address - Street 2:
Practice Address - City:GILLHAM
Practice Address - State:AR
Practice Address - Zip Code:71841-0110
Practice Address - Country:US
Practice Address - Phone:870-386-2251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-20
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR354235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist