Provider Demographics
NPI:1407004906
Name:HIRSCH, JUDITH
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:
Last Name:HIRSCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JUDITH
Other - Middle Name:
Other - Last Name:HIRSCH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, CCC-A
Mailing Address - Street 1:572 SEGOVIA RD
Mailing Address - Street 2:
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32086-6454
Mailing Address - Country:US
Mailing Address - Phone:340-513-1926
Mailing Address - Fax:
Practice Address - Street 1:9149 ESTATE THOMAS STE 308
Practice Address - Street 2:
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-3132
Practice Address - Country:US
Practice Address - Phone:340-774-8881
Practice Address - Fax:340-776-9807
Is Sole Proprietor?:No
Enumeration Date:2008-09-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter