Theodore Lewis Judd in Bellingham - Clinical
Theodore Lewis Judd - NPI 1255368833
Theodore Lewis Judd is a Clinical in Bellingham, Washington. Theodore Lewis Judd practices all healthcare services and medical treatments related to Clinical. The NPI Number for Theodore Lewis Judd is 1255368833. The last update date is 2019-04-03.
Theodore Lewis Judd's current location address is 12 Bellwether Way, Bellingham, Washington. You can contact this provider via phone number 3605438333 and fax number 3605438332. The mailing address for Theodore Lewis Judd is 12 Bellwether Way, Bellingham, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore Lewis Judd |
|---|---|
| Address | 12 Bellwether Way, Bellingham, Washington |
| Phone Number | 3605438333 |
| Fax Number | 3605438332 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1255368833 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2019-04-03 |
Provider Mailing Address Detail
| Address | 12 Bellwether Way |
|---|---|
| City | Bellingham |
| State | Washington (WA) |
| Post Code | 982252914 |
| Phone Number | 3605438333 |
| Fax Number | 3605438332 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY00000736 |
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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 |
|---|---|---|---|
| 7115900 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Theodore Lewis Judd by the Centers for Medicare & Medicaid Services (CMS)?
The Theodore Lewis Judd has been assigned the NPI (National Provider Identifier) 1255368833. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Theodore Lewis Judd?
The Theodore Lewis Judd is situated at 12 Bellwether Way, in the city of Bellingham, state of WA, with the zip code 982252914.
What is the Theodore Lewis Judd's area of specialization and corresponding taxonomy classification?
The Theodore Lewis Judd's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1255368833 to Theodore Lewis Judd?
The Centers for Medicare & Medicaid Services assigned the 1255368833 to Theodore Lewis Judd on 2006-06-27.
When was the information regarding Theodore Lewis Judd, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Theodore Lewis Judd, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-04-03.