Judy Ronan Woodburn in Normal - Clinical
Judy Ronan Woodburn - NPI 1013937382
Judy Ronan Woodburn is a Clinical in Normal, Illinois. Judy Ronan Woodburn practices all healthcare services and medical treatments related to Clinical. The NPI Number for Judy Ronan Woodburn is 1013937382. The last update date is 2007-07-08.
Judy Ronan Woodburn's current location address is 403 W Virginia Ave, Normal, Illinois. You can contact this provider via phone number 3092682910 and fax number 3092682913. The mailing address for Judy Ronan Woodburn is 403 W Virginia Ave, Normal, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judy Ronan Woodburn |
|---|---|
| Address | 403 W Virginia Ave, Normal, Illinois |
| Phone Number | 3092682910 |
| Fax Number | 3092682913 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1013937382 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 403 W Virginia Ave |
|---|---|
| City | Normal |
| State | Illinois (IL) |
| Post Code | 617613666 |
| Phone Number | 3092682910 |
| Fax Number | 3092682913 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5732028 | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Judy Ronan Woodburn by the Centers for Medicare & Medicaid Services?
The Judy Ronan Woodburn has been issued the NPI (National Provider Identifier) 1013937382, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Judy Ronan Woodburn?
The Judy Ronan Woodburn is physically situated at 403 W Virginia Ave, in the city of Normal, state of IL, with the postal code 617613666.
What is Judy Ronan Woodburn'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 Ronan Woodburn is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1013937382 to Judy Ronan Woodburn?
The Centers for Medicare & Medicaid Services originally issued the 1013937382 to Judy Ronan Woodburn on 2006-07-20.
When was the information regarding Judy Ronan Woodburn, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Judy Ronan Woodburn, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1972506228
Address: 2102 Treasure Hills Blvd Ste 3.14406, Harlingen, TX