Judy A Walz is a Psychologist in Mequon, Wisconsin. Judy A Walz practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Judy A Walz is 1104995141. The last update date is 2007-07-08.
Judy A Walz's current location address is 10500 North Port Washington Road, Mequon, Wisconsin. You can contact this provider via phone number 2622400427 and fax number 2622400429. The mailing address for Judy A Walz is 10500 North Port Washington Road, Mequon, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judy A Walz |
|---|---|
| Address | 10500 North Port Washington Road, Mequon, Wisconsin |
| Phone Number | 2622400427 |
| Fax Number | 2622400429 |
| Sole Proprietor | N |
| Credentials | RN |
NPI Number Detail
| NPI Number | 1104995141 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10500 North Port Washington Road |
|---|---|
| City | Mequon |
| State | Wisconsin (WI) |
| Post Code | 53092 |
| Phone Number | 2622400427 |
| Fax Number | 2622400429 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 47238030 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40939000 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Judy A Walz by the Centers for Medicare & Medicaid Services?
The Judy A Walz has been issued the NPI (National Provider Identifier) 1104995141. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Judy A Walz is physically located?
The Judy A Walz is situated at the following address: 10500 North Port Washington Road, Mequon, WI 53092.
What is Judy A Walz's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Judy A Walz is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
On what date did the Judy A Walz receive its 1104995141 assignment from the Centers for Medicare & Medicaid Services?
The Judy A Walz was assigned its 1104995141 by the Centers for Medicare & Medicaid Services on 2006-11-06.
As of what date were the Judy A Walz's details last updated?
The information pertaining to the Judy A Walz, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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