Judy J Keller in Huntsville - Clinical

Judy J Keller - NPI 1235301045

Judy J Keller is a Clinical in Huntsville, Alabama. Judy J Keller practices all healthcare services and medical treatments related to Clinical. The NPI Number for Judy J Keller is 1235301045. The last update date is 2010-04-01.

Judy J Keller's current location address is 116 Lily Flagg Rd Sw, Huntsville, Alabama. You can contact this provider via phone number 2568815352. The mailing address for Judy J Keller is 116 Lily Flagg Rd Sw, Huntsville, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Judy J Keller
Address 116 Lily Flagg Rd Sw, Huntsville, Alabama
Phone Number 2568815352
Fax Number
Sole Proprietor N
Credentials LCSW, PIP

NPI Number Detail

NPI Number 1235301045
Provider Enumeration Date 2008-04-01
Last Updated Date 2010-04-01

Provider Mailing Address Detail

Address 116 Lily Flagg Rd Sw
City Huntsville
State Alabama (AL)
Post Code 358023066
Phone Number 2568815352
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 2153C
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
51549069 AL BCBS

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FAQs about Judy J Keller

What is the unique provider identifier assigned to Judy J Keller?

The Judy J Keller has been issued the NPI (National Provider Identifier) 1235301045 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 J Keller?

The Judy J Keller is physically situated at 116 Lily Flagg Rd Sw, in the city of Huntsville, state of AL, with the postal code 358023066.

What is Judy J Keller'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 J Keller is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1235301045 to Judy J Keller?

The Judy J Keller received its 1235301045 assignment from the Centers for Medicare & Medicaid Services on 2008-04-01.

When was the information related to Judy J Keller most recently updated or refreshed?

The details pertaining to the Judy J Keller, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-04-01.

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