Provider Demographics
NPI:1740873363
Name:ARTETA, JUDITH MONIQUE (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:MONIQUE
Last Name:ARTETA
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:196 CAZADOR DR
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-6865
Mailing Address - Country:US
Mailing Address - Phone:512-584-7720
Mailing Address - Fax:
Practice Address - Street 1:8711 VILLAGE DR STE 109
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-5419
Practice Address - Country:US
Practice Address - Phone:210-297-2725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-15
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115027235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist