Provider Demographics
NPI:1023450061
Name:ANDREWS, JUDITH ANN
Entity type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:ANN
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:JUDY
Other - Middle Name:
Other - Last Name:ANDREWS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SP 60195904 SLPA
Mailing Address - Street 1:210205 E BOWLES RD
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99337-8707
Mailing Address - Country:US
Mailing Address - Phone:509-948-4979
Mailing Address - Fax:
Practice Address - Street 1:224606 E GAME FARM RD
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99337-8623
Practice Address - Country:US
Practice Address - Phone:509-586-3217
Practice Address - Fax:509-586-4408
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-18
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASP 601959042355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant