Judy Addison in Wichita - Adult Development & Aging
Judy Addison - NPI 1205876158
Judy Addison is a Adult Development & Aging in Wichita, Kansas. Judy Addison practices all healthcare services and medical treatments related to Adult Development & Aging. The NPI Number for Judy Addison is 1205876158. The last update date is 2007-07-08.
Judy Addison's current location address is 1919 N Amidon Ave, Wichita, Kansas. You can contact this provider via phone number 3166607675 and fax number 3168321571. The mailing address for Judy Addison is 1919 N Amidon Ave, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judy Addison |
|---|---|
| Address | 1919 N Amidon Ave, Wichita, Kansas |
| Phone Number | 3166607675 |
| Fax Number | 3168321571 |
| Sole Proprietor | X |
| Credentials | LMLP, LCP |
NPI Number Detail
| NPI Number | 1205876158 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1919 N Amidon Ave |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 672032117 |
| Phone Number | 3166607675 |
| Fax Number | 3168321571 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Development & Aging |
|---|---|
| Taxonomy | 103Ta0700X |
| Licence No | 376 |
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Definition: A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2153213 | KS | CIGNA | |
| 389892 | KS | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Judy Addison by the Centers for Medicare & Medicaid Services?
The Judy Addison has been issued the NPI (National Provider Identifier) 1205876158 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Judy Addison is geographically located?
The Judy Addison is physically situated at the following location: 1919 N Amidon Ave, Wichita, KS, 672032117.
What is the Judy Addison's specialty and taxonomy code?
The Judy Addison's specialty is Adult Development & Aging, and the corresponding taxonomy code is 103Ta0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1205876158 to Judy Addison?
The Centers for Medicare & Medicaid Services assigned the 1205876158 to Judy Addison on 2006-06-08.
As of what date were the Judy Addison's details last updated?
The information pertaining to the Judy Addison, including its address, specialty, and other details, was most recently updated on 2007-07-08.