Judy M David, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Baton Rouge, LA
NPI 1053421990 · NPPES record last updated Oct 29, 2008
Key facts
- NPI
- 1053421990
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 1467 (LA)
- Practice address
- 18268 Petroleum Dr
Baton Rouge, LA 70809-6126 - Phone
- (225) 292-4138
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1467 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abilities Pediatric Therapy Clinic | Speech-Language Pathologist | Past |
Accepting new patients |
| Listening Earfects | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1467 | LA | Yes |
Addresses
Primary practice location
18268 Petroleum Dr
Baton Rouge, LA 70809-6126
Mailing address
18268 Petroleum Dr
Baton Rouge, LA 70809-6126
Other providers in Baton Rouge, LA
- David M Vieth DDS, a Professional Corporation
- David Werner Barnett DDS, MD, LLC
- Amy David
- Byron Bernard David
- Catherine D David
- Candace Lacher Davidson
- Carrie S. Davidson
- Douglas W Davidson
- Timothy Brandon Davidson
- Abigail Davies
All providers in Baton Rouge, LA · Speech-Language Pathologist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.