Most Relevant Information
Provider Data
| NPI Number: | 1003513326 |
| Provider Name: | KIMBERLY SEXTON JUDLIN MCD, CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 21058 |
Most Important Dates
| Enumeration Date: | 02/08/2023 |
| Last Updated: | 02/08/2023 |
Provider Practice Location
655 S WILLOW ST STE 128
MANCHESTER
NH
031035723
Practice Location Phone/Fax
| Phone: | 8009952673 |
| Fax: |
Provider Mailing Location
705 HAYNES AVE
SHREVEPORT
LA
711053829
Provider Mailing Phone/Fax
| Phone: | 3182720956 |
| Fax: |