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PAMELA MONROE JUDGE M.A,, CCC-SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1417077025

Individual Registrant:
 PAMELA MONROE JUDGE M.A,, CCC-SLP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
142 W LAKEVIEW AVE STE 2010  LAKE MARY, FL 32746-2903 US
Tel: 407-323-6955  Fax: --

Contact information for business:
600 MOURNING DOVE CIR  LAKE MARY, FL 32746-3960 US
Tel: 407-324-7141  Fax: --

Registration Information:
NPI: 1417077025
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
FLSA 4434

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
8835080FL05




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