| Neuropsychological And Psychoeducational Services | |
|
12 Bellwether Way Suite 223 Bellingham WA 98225-2959 | |
| (360) 255-2505 | |
| (360) 255-2504 |
| Full Name | Neuropsychological And Psychoeducational Services |
|---|---|
| Speciality | Psychologist |
| Location | 12 Bellwether Way, Bellingham, Washington |
| Authorized Official Name and Position | Theodore Lewis Judd (OWNER) |
| Authorized Official Contact | 3602552505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuropsychological And Psychoeducational Services 12 Bellwether Way Suite 223 Bellingham WA 98225-2959 Ph: (360) 255-2505 | Neuropsychological And Psychoeducational Services 12 Bellwether Way Suite 223 Bellingham WA 98225-2959 Ph: (360) 255-2505 |
| NPI Number | 1205146123 |
|---|---|
| Provider Enumeration Date | 10/13/2010 |
| Last Update Date | 03/30/2011 |
| Medicare PECOS PAC ID | 8224212402 |
|---|---|
| Medicare Enrollment ID | O20110413000179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205146123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY00000736 (Washington) | Primary |
| Provider Name | Theodore L Judd |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255368833 PECOS PAC ID: 6406030691 Enrollment ID: I20110413000271 |
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