SearchIllinois101YP2500X

Judy Latta, M.S

NPI 1659483303 · on the registry since 2006

Practice

Address
1300 Charleston Ave
Mattoon, IL 61938
Phone
(217) 234-6405
Fax
(217) 258-6136
Clinicians at this address
3

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois