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NPI Code Detail

MEDICARE: JUDY DITTMER SLP

MEDICARE: JUDY DITTMER SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistLL00001857WA

General Provider Information

NPI Number : 1336283191
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDY DITTMER SLP
Provider Business Mailing Address
First Line : 1850 BOYER AVE E
Second Line : BOYER CHILDREN'S CLINIC
City : SEATTLE
State : WA
Zip : 98112-2922
Country : US
Telephone Number : 206-325-8477
Fax Number : 206-323-1385
Provider Business Practice Location Address
First Line : 1850 BOYER AVE E
Second Line : BOYER CHILDREN'S CLINIC
City : SEATTLE
State : WA
Zip : 98112-2922
Country : US
Telephone Number : 206-325-8477
Fax Number : 206-323-1385
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2007
Last Update Date : 02/21/2014

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Directions to “ JUDY DITTMER SLP” Practice Location

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