Provider Demographics
NPI:1356964563
Name:HUDSON, CAMERON CHICK (AUD)
Entity type:Individual
Prefix:
First Name:CAMERON
Middle Name:CHICK
Last Name:HUDSON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:CAMERON
Other - Middle Name:
Other - Last Name:CHICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:301 BROWN SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-7005
Mailing Address - Country:US
Mailing Address - Phone:334-747-4159
Mailing Address - Fax:
Practice Address - Street 1:2055 E SOUTH BLVD STE 908
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116-2007
Practice Address - Country:US
Practice Address - Phone:334-747-7500
Practice Address - Fax:334-747-7501
Is Sole Proprietor?:No
Enumeration Date:2020-05-21
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1278A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist