Provider Demographics
NPI:1215327523
Name:ASAY, JUDD (HAS)
Entity type:Individual
Prefix:
First Name:JUDD
Middle Name:
Last Name:ASAY
Suffix:
Gender:M
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10522 ARNICA WAY
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89135-4038
Mailing Address - Country:US
Mailing Address - Phone:702-984-8078
Mailing Address - Fax:
Practice Address - Street 1:8530 W CHARLESTON BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-1308
Practice Address - Country:US
Practice Address - Phone:702-979-3855
Practice Address - Fax:801-396-7061
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-26
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVH.A.S 0554237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist