Addison, Judy

Addison, Judy is an individual health care provider with primary practice located at 1919 N Amidon Ave Suite 130, Wichita KS 67203-2117. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Adult Development & Aging is her primary health care specialty. Addison, Judy can be contacted via phone (316) 660-7675.

Contact Information

Primary practice address
1919 N Amidon Ave Suite 130 Wichita KS 67203-2117
Phone: (316) 660-7675
Fax: (316) 832-1571
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X 0376 Kansas
Behavioral Health & Social Service Providers / Clinical 103TC0700X 037 Kansas

Profile Details

NPI number 1205876158
LBN Legal business name Addison, Judy
Credentials LMLP, LCP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205876158 NPPES
Kansas Other 2153213 CIGNA
Kansas Other 389892 CIGNA

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