Provider Demographics
NPI:1457984122
Name:HLADEK, JUDI ANN
Entity type:Individual
Prefix:
First Name:JUDI
Middle Name:ANN
Last Name:HLADEK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49570 NATURE TRL
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIRSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43950-9298
Mailing Address - Country:US
Mailing Address - Phone:740-232-4682
Mailing Address - Fax:
Practice Address - Street 1:49570 NATURE TRL
Practice Address - Street 2:
Practice Address - City:SAINT CLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950-9298
Practice Address - Country:US
Practice Address - Phone:740-232-4682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-20
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator