Provider Demographics
NPI:1932505047
Name:VOELPEL, JUDITH (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:
Last Name:VOELPEL
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PARK AND DOWNING AVES.
Mailing Address - Street 2:
Mailing Address - City:SEA CLIFF
Mailing Address - State:NY
Mailing Address - Zip Code:11579
Mailing Address - Country:US
Mailing Address - Phone:516-671-0501
Mailing Address - Fax:516-671-1357
Practice Address - Street 1:101 DOWNING AVE
Practice Address - Street 2:
Practice Address - City:SEA CLIFF
Practice Address - State:NY
Practice Address - Zip Code:11579-2055
Practice Address - Country:US
Practice Address - Phone:515-671-0501
Practice Address - Fax:516-671-1357
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-17
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010112235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist