Provider Demographics
NPI:1134423502
Name:MCNABB, JUDY LYNN (MA/CCC-SLP)
Entity type:Individual
Prefix:
First Name:JUDY
Middle Name:LYNN
Last Name:MCNABB
Suffix:
Gender:F
Credentials:MA/CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:539 GREEN SPRING CIR
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-3030
Mailing Address - Country:US
Mailing Address - Phone:407-327-3442
Mailing Address - Fax:
Practice Address - Street 1:539 GREEN SPRING CIR
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-3030
Practice Address - Country:US
Practice Address - Phone:407-327-3442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-29
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist