Provider Demographics
NPI:1154709236
Name:KRUMBEIN, JUDITH (MA CCC-SLP)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:
Last Name:KRUMBEIN
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 EMBASSY DR
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-1936
Mailing Address - Country:US
Mailing Address - Phone:609-506-7764
Mailing Address - Fax:
Practice Address - Street 1:9 EMBASSY DR
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-1936
Practice Address - Country:US
Practice Address - Phone:609-506-7764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-11
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00781000235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist