Judith Cunningham Fuller in Creve Coeur - Clinical

Judith Cunningham Fuller - NPI 1346447562

Judith Cunningham Fuller is a Clinical in Creve Coeur, Missouri. Judith Cunningham Fuller practices all healthcare services and medical treatments related to Clinical. The NPI Number for Judith Cunningham Fuller is 1346447562. The last update date is 2007-07-08.

Judith Cunningham Fuller's current location address is 10845 Olive Blvd, Creve Coeur, Missouri. You can contact this provider via phone number 3148723132 and fax number 3148723965. The mailing address for Judith Cunningham Fuller is 10845 Olive Blvd, Creve Coeur, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Judith Cunningham Fuller
Address 10845 Olive Blvd, Creve Coeur, Missouri
Phone Number 3148723132
Fax Number 3148723965
Sole Proprietor Y
Credentials M.S.W., L.

NPI Number Detail

NPI Number 1346447562
Provider Enumeration Date 2007-06-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 10845 Olive Blvd
City Creve Coeur
State Missouri (MO)
Post Code 631417760
Phone Number 3148723132
Fax Number 3148723965

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 1679
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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FAQs about Judith Cunningham Fuller

What is the unique 10-digit identification code issued to Judith Cunningham Fuller by the Centers for Medicare & Medicaid Services?

The Judith Cunningham Fuller has been assigned the NPI (National Provider Identifier) 1346447562 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Judith Cunningham Fuller's facilities are geographically located?

The facilities of Judith Cunningham Fuller are physically situated at the following location: 10845 Olive Blvd, Creve Coeur, MO, 631417760.

What is Judith Cunningham Fuller's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Judith Cunningham Fuller is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.

When did Judith Cunningham Fuller receive its 1346447562 assignment?

The Judith Cunningham Fuller was assigned its 1346447562 on 2007-06-29, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Judith Cunningham Fuller most recently updated or revised?

The information pertaining to Judith Cunningham Fuller, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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