Provider Demographics
NPI:1780820175
Name:HORVATH, JUDITH A (MA LSLS CERT AVED)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:A
Last Name:HORVATH
Suffix:
Gender:F
Credentials:MA LSLS CERT AVED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7205 N HABANA AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-4372
Mailing Address - Country:US
Mailing Address - Phone:813-932-1184
Mailing Address - Fax:
Practice Address - Street 1:7205 N HABANA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-4372
Practice Address - Country:US
Practice Address - Phone:813-932-1184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-06
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL865678235500000X, 222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
No235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist