Judith Ullom in Champaign - Developmental Therapist
Judith Ullom - NPI 1346469228
Judith Ullom is a Developmental Therapist in Champaign, Illinois. Judith Ullom practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Judith Ullom is 1346469228. The last update date is 2007-07-08.
Judith Ullom's current location address is 1304 W Bradley Ave, Champaign, Illinois. You can contact this provider via phone number 2173569176 and fax number 2173569851. The mailing address for Judith Ullom is 1304 W Bradley Ave, Champaign, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith Ullom |
|---|---|
| Address | 1304 W Bradley Ave, Champaign, Illinois |
| Phone Number | 2173569176 |
| Fax Number | 2173569851 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1346469228 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1304 W Bradley Ave |
|---|---|
| City | Champaign |
| State | Illinois (IL) |
| Post Code | 618212035 |
| Phone Number | 2173569176 |
| Fax Number | 2173569851 |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
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Definition: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Judith Ullom by the Centers for Medicare & Medicaid Services?
The Judith Ullom has been issued the NPI (National Provider Identifier) 1346469228 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Judith Ullom's physical address?
The Judith Ullom is physically located at 1304 W Bradley Ave, in the city of Champaign, IL, with the postal code 618212035.
What is Judith Ullom's area of expertise and its corresponding taxonomy classification?
The Judith Ullom's field of specialization is Developmental Therapist, and it falls under the taxonomy code 222Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Judith Ullom receive its 1346469228 assignment from the Centers for Medicare & Medicaid Services?
The Judith Ullom was assigned its 1346469228 by the Centers for Medicare & Medicaid Services on 2007-04-25.
When was the Judith Ullom's information last updated?
The Judith Ullom's information was last updated on 2007-07-08.