Judith Ann Detrude in Montgomery - Marriage & Family Therapist
Judith Ann Detrude - NPI 1609908797
Judith Ann Detrude is a Marriage & Family Therapist in Montgomery, Texas. Judith Ann Detrude practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Judith Ann Detrude is 1609908797. The last update date is 2007-07-08.
Judith Ann Detrude's current location address is 66 Brookgreen Cir S, Montgomery, Texas. You can contact this provider via phone number 9365976716 and fax number 9365974618. The mailing address for Judith Ann Detrude is 66 Brookgreen Cir S, Montgomery, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith Ann Detrude |
|---|---|
| Address | 66 Brookgreen Cir S, Montgomery, Texas |
| Phone Number | 9365976716 |
| Fax Number | 9365974618 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1609908797 |
|---|---|
| Provider Enumeration Date | 2007-03-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 66 Brookgreen Cir S |
|---|---|
| City | Montgomery |
| State | Texas (TX) |
| Post Code | 773568360 |
| Phone Number | 9365976716 |
| Fax Number | 9365974618 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 254 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique identifier code issued to Judith Ann Detrude by the Centers for Medicare & Medicaid Services (CMS)?
The Judith Ann Detrude has been assigned the NPI (National Provider Identifier) 1609908797. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Judith Ann Detrude located?
The Judith Ann Detrude is located at 66 Brookgreen Cir S, Montgomery, TX 773568360.
What is Judith Ann Detrude's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Judith Ann Detrude is Marriage & Family Therapist, and the taxonomy code that categorizes this field of expertise is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1609908797 to Judith Ann Detrude?
The Centers for Medicare & Medicaid Services originally issued the 1609908797 to Judith Ann Detrude on 2007-03-12.
As of what date were the details related to Judith Ann Detrude most recently updated or revised?
The information pertaining to Judith Ann Detrude, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC