Provider Demographics
NPI:1992025191
Name:HODOSH, JUDY Z (MA CCC-A)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:Z
Last Name:HODOSH
Suffix:
Gender:F
Credentials:MA CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5135 VIA EL MOLINO
Mailing Address - Street 2:
Mailing Address - City:NEWBURY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91320-6995
Mailing Address - Country:US
Mailing Address - Phone:818-345-3200
Mailing Address - Fax:818-345-3254
Practice Address - Street 1:5525 ETIWANDA AVE
Practice Address - Street 2:SUITE # 309
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-3647
Practice Address - Country:US
Practice Address - Phone:818-345-3200
Practice Address - Fax:818-345-3254
Is Sole Proprietor?:No
Enumeration Date:2010-06-10
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU1412237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter