Judy Van Der Wende in Simi Valley - Clinical
Judy Van Der Wende - NPI 1508928383
Judy Van Der Wende is a Clinical in Simi Valley, California. Judy Van Der Wende practices all healthcare services and medical treatments related to Clinical. The NPI Number for Judy Van Der Wende is 1508928383. The last update date is 2007-07-08.
Judy Van Der Wende's current location address is 3695 Alamo St, Simi Valley, California. You can contact this provider via phone number 8054074730 and fax number 8055810889. The mailing address for Judy Van Der Wende is 3695 Alamo St, Simi Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judy Van Der Wende |
|---|---|
| Address | 3695 Alamo St, Simi Valley, California |
| Phone Number | 8054074730 |
| Fax Number | 8055810889 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1508928383 |
|---|---|
| Provider Enumeration Date | 2006-12-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3695 Alamo St |
|---|---|
| City | Simi Valley |
| State | California (CA) |
| Post Code | 930632188 |
| Phone Number | 8054074730 |
| Fax Number | 8055810889 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY18757 |
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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 provider identifier assigned to Judy Van Der Wende?
The Judy Van Der Wende has been issued the NPI (National Provider Identifier) 1508928383 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Judy Van Der Wende?
The Judy Van Der Wende is physically situated at 3695 Alamo St, in the city of Simi Valley, state of CA, with the postal code 930632188.
What is Judy Van Der Wende's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Judy Van Der Wende is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Judy Van Der Wende receive its 1508928383 assignment from the Centers for Medicare & Medicaid Services?
The Judy Van Der Wende was assigned its 1508928383 by the Centers for Medicare & Medicaid Services on 2006-12-15.
When was the information regarding Judy Van Der Wende most recently updated?
The details pertaining to the Judy Van Der Wende, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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