Judy Goodman Fermin in La Jolla - Clinical
Judy Goodman Fermin - NPI 1124293204
Judy Goodman Fermin is a Clinical in La Jolla, California. Judy Goodman Fermin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Judy Goodman Fermin is 1124293204. The last update date is 2008-04-29.
Judy Goodman Fermin's current location address is 9500 Gilman Drive #0304, La Jolla, California. You can contact this provider via phone number 8585349079 and fax number 8585342628. The mailing address for Judy Goodman Fermin is 9500 Gilman Drive #0304, La Jolla, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judy Goodman Fermin |
|---|---|
| Address | 9500 Gilman Drive #0304, La Jolla, California |
| Phone Number | 8585349079 |
| Fax Number | 8585342628 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1124293204 |
|---|---|
| Provider Enumeration Date | 2008-04-29 |
| Last Updated Date | 2008-04-29 |
Provider Mailing Address Detail
| Address | 9500 Gilman Drive #0304 |
|---|---|
| City | La Jolla |
| State | California (CA) |
| Post Code | 92093 |
| Phone Number | 8585349079 |
| Fax Number | 8585342628 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY14403 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code assigned to Judy Goodman Fermin by the Centers for Medicare & Medicaid Services?
The Judy Goodman Fermin has been issued the NPI (National Provider Identifier) 1124293204 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Judy Goodman Fermin?
The Judy Goodman Fermin is physically situated at 9500 Gilman Drive #0304, in the city of La Jolla, state of CA, with the postal code 92093.
What is Judy Goodman Fermin's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Judy Goodman Fermin is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
When did Judy Goodman Fermin receive its 1124293204 assignment?
The Judy Goodman Fermin was assigned its 1124293204 on 2008-04-29, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Judy Goodman Fermin most recently updated or revised?
The information pertaining to Judy Goodman Fermin, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-29.
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