Judith M Tully is a Clinical in Brookline, Massachusetts. Judith M Tully practices all healthcare services and medical treatments related to Clinical. The NPI Number for Judith M Tully is 1962467787. The last update date is 2007-07-08.
Judith M Tully's current location address is 1330 Beacon St, Brookline, Massachusetts. You can contact this provider via phone number 6177305356. The mailing address for Judith M Tully is 1330 Beacon St, Brookline, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith M Tully |
|---|---|
| Address | 1330 Beacon St, Brookline, Massachusetts |
| Phone Number | 6177305356 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1962467787 |
|---|---|
| Provider Enumeration Date | 2006-04-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1330 Beacon St |
|---|---|
| City | Brookline |
| State | Massachusetts (MA) |
| Post Code | 2446 |
| Phone Number | 6177305356 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 106057 |
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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 |
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What is the unique 10-digit identifier code issued to Judith M Tully by the Centers for Medicare & Medicaid Services?
The Judith M Tully has been assigned the NPI (National Provider Identifier) 1962467787 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Judith M Tully located?
The Judith M Tully is located at 1330 Beacon St, Brookline, MA 2446.
What is Judith M Tully's area of expertise and its corresponding taxonomy classification?
The Judith M Tully's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1962467787 to Judith M Tully?
The Judith M Tully received its 1962467787 assignment from the Centers for Medicare & Medicaid Services on 2006-04-18.
As of what date were the Judith M Tully's details last updated?
The information pertaining to the Judith M Tully, including its address, specialty, and other details, was most recently updated on 2007-07-08.