Provider Demographics
NPI:1891011938
Name:YUDOWITZ, ANNE F (SPLT)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:F
Last Name:YUDOWITZ
Suffix:
Gender:F
Credentials:SPLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1823 CURTIS ST
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94702-1617
Mailing Address - Country:US
Mailing Address - Phone:510-847-7266
Mailing Address - Fax:
Practice Address - Street 1:4442 PIEDMONT AVENUE
Practice Address - Street 2:SUITE F
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-4213
Practice Address - Country:US
Practice Address - Phone:510-388-3664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-14
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10327235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist