Mathew L. Judd in Ontario - Clinical

Mathew L. Judd - NPI 1417090481

Mathew L. Judd is a Clinical in Ontario, California. Mathew L. Judd practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mathew L. Judd is 1417090481. The last update date is 2007-07-08.

Mathew L. Judd's current location address is 2990 Inland Empire Blvd, Ontario, California. You can contact this provider via phone number 9099803427 and fax number 9099453426. The mailing address for Mathew L. Judd is 2990 Inland Empire Blvd, Ontario, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Mathew L. Judd
Address 2990 Inland Empire Blvd, Ontario, California
Phone Number 9099803427
Fax Number 9099453426
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1417090481
Provider Enumeration Date 2007-02-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2990 Inland Empire Blvd
City Ontario
State California (CA)
Post Code 917644899
Phone Number 9099803427
Fax Number 9099453426

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LCS18850
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 Mathew L. Judd

What is the unique provider identifier assigned to Mathew L. Judd?

The Mathew L. Judd has been issued the NPI (National Provider Identifier) 1417090481 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Mathew L. Judd's facilities are situated?

The facilities of Mathew L. Judd are physically located at the following address: 2990 Inland Empire Blvd, Ontario, CA, 917644899.

What is Mathew L. Judd's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Mathew L. Judd is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1417090481 to Mathew L. Judd?

The Centers for Medicare & Medicaid Services assigned the 1417090481 to Mathew L. Judd on 2007-02-15.

When was the information pertaining to Mathew L. Judd most recently updated or revised?

The details related to Mathew L. Judd, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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