MEDICARE: MISS JUDITH MORISHA SELKER-ADAMS B.S.;M.ED

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
1	235Z00000X	Speech-Language Pathologist	3439	CA

General Provider Information

NPI Number	:	1346663788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS JUDITH MORISHA SELKER-ADAMS B.S.;M.ED

Provider Business Mailing Address
First Line	:	16772 CORAL CAY LN
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92649-2907
Country	:	US
Telephone Number	:	562-592-3267
Fax Number	:

Provider Business Practice Location Address
First Line	:	16772 CORAL CAY LN
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92649-2907
Country	:	US
Telephone Number	:	562-592-3267
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2014
Last Update Date	:	01/21/2014

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