Provider Demographics
NPI:1891790481
Name:CURTIN, JUDITH ANN (AUD CCC A/SLP)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:ANN
Last Name:CURTIN
Suffix:
Gender:F
Credentials:AUD CCC A/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:790 E MARKET ST
Mailing Address - Street 2:SUITE 180
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-4884
Mailing Address - Country:US
Mailing Address - Phone:610-431-2411
Mailing Address - Fax:610-431-2441
Practice Address - Street 1:790 E MARKET ST
Practice Address - Street 2:SUITE 180
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-4884
Practice Address - Country:US
Practice Address - Phone:610-431-2411
Practice Address - Fax:610-431-2441
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-20
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAD00832-02237600000X
PAAT000950L231H00000X
PASL005173L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACU1678868Medicare UPIN
PACU1673145Medicare UPIN