John Bayless Judd is a Clinical in Maryville, Tennessee. John Bayless Judd practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Bayless Judd is 1144378282. The last update date is 2023-11-25.
John Bayless Judd's current location address is 400 S Washington St, Maryville, Tennessee. You can contact this provider via phone number 8659820664 and fax number 8658566161. The mailing address for John Bayless Judd is 400 S Washington St, Maryville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Bayless Judd |
|---|---|
| Address | 400 S Washington St, Maryville, Tennessee |
| Phone Number | 8659820664 |
| Fax Number | 8658566161 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1144378282 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2023-11-25 |
Provider Mailing Address Detail
| Address | 400 S Washington St |
|---|---|
| City | Maryville |
| State | Tennessee (TN) |
| Post Code | 378045801 |
| Phone Number | 8659820664 |
| Fax Number | 8658566161 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | P560 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3681765 | TN | -- |
Post Comment/ Review Below
What is the John Bayless Judd's unique identification number?
The John Bayless Judd has been assigned the NPI (National Provider Identifier) Number 1144378282 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where John Bayless Judd's facilities are situated?
The facilities of John Bayless Judd are physically located at the following address: 400 S Washington St, Maryville, TN, 378045801.
What is John Bayless Judd's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for John Bayless Judd is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1144378282 to John Bayless Judd?
The John Bayless Judd received its 1144378282 assignment from the Centers for Medicare & Medicaid Services on 2007-01-08.
As of what date was the information regarding John Bayless Judd, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John Bayless Judd, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-11-25.
NPI Number: 1669475885
Address: 1005 Midwestern Pkwy, Wichita Falls, TX
NPI Number: 1104829498
Address: 1416 Crown Drive, Kirksville, MO
NPI Number: 1215930573
Address: 209 W Criser Rd, Front Royal, VA