Provider Demographics
NPI:1699979963
Name:YUDSON, KAY CZAP (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:KAY
Middle Name:CZAP
Last Name:YUDSON
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 SOUTH 25TH STREET
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22202-2529
Mailing Address - Country:US
Mailing Address - Phone:703-684-5471
Mailing Address - Fax:703-684-5471
Practice Address - Street 1:611 25TH ST S
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22202-2529
Practice Address - Country:US
Practice Address - Phone:703-684-5471
Practice Address - Fax:703-684-5471
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202001022235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist