Judith Anderson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

01-0001190 Issued in DE

Practice address

1311 Brandywine Blvd
Wilmington, DE 19809-2306

Phone

(302) 792-5072

Fax

(302) 765-1996

NPI assigned

Dec 18, 2014

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 18, 2014.

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418860800000",
    "number": "1245638501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 BRANDYWINE BLVD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198092306",
            "telephone_number": "302-792-5072",
            "fax_number": "302-765-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 BRANDYWINE BLVD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198092306",
            "telephone_number": "302-792-5072",
            "fax_number": "302-765-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JUDITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-18",
        "last_updated": "2014-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DE",
            "license": "01-0001190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Anderson, PSY.D.
• Ashley Anderson
• Carla Anderson, OT
• Claudette Elizabeth Anderson, MD
• Donna Maria Anderson
• Kimberly Anderson
• Kristyn Marie Anderson, PT
• Laura Anderson
• Lindsay Michelle Anderson, BCBA
• Mary Anderson, NP

• All providers in Wilmington, DE
• Speech-Language Pathologist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.