Judy Raker Bruton in Saint Louis - Clinical
Judy Raker Bruton - NPI 1356463806
Judy Raker Bruton is a Clinical in Saint Louis, Missouri. Judy Raker Bruton practices all healthcare services and medical treatments related to Clinical. The NPI Number for Judy Raker Bruton is 1356463806. The last update date is 2007-07-08.
Judy Raker Bruton's current location address is 7750 Clayton Rd, Saint Louis, Missouri. You can contact this provider via phone number 3143084356. The mailing address for Judy Raker Bruton is 7750 Clayton Rd, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judy Raker Bruton |
|---|---|
| Address | 7750 Clayton Rd, Saint Louis, Missouri |
| Phone Number | 3143084356 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | J.D., L.C. |
NPI Number Detail
| NPI Number | 1356463806 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7750 Clayton Rd |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631171353 |
| Phone Number | 3143084356 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2005019493 |
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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 identification code assigned to Judy Raker Bruton by the Centers for Medicare & Medicaid Services?
The Judy Raker Bruton has been issued the NPI (National Provider Identifier) 1356463806, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Judy Raker Bruton?
The Judy Raker Bruton is physically situated at 7750 Clayton Rd, in the city of Saint Louis, state of MO, with the postal code 631171353.
What is Judy Raker Bruton's specialized field of practice, and what is the corresponding taxonomy classification code?
The Judy Raker Bruton's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1356463806 to Judy Raker Bruton?
The Judy Raker Bruton received its 1356463806 assignment from the Centers for Medicare & Medicaid Services on 2007-04-04.
When was the information related to Judy Raker Bruton most recently updated or refreshed?
The details pertaining to the Judy Raker Bruton, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.