Anderson, Judith A Popp

Anderson, Judith A Popp is an individual health care provider with primary practice located at 203 W Clark St , Albert Lea MN 56007-2549. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Anderson, Judith A Popp can be contacted via phone (507) 377-5440.

Contact Information

Primary practice address
203 W Clark St Albert Lea MN 56007-2549
Phone: (507) 377-5440
Fax: (507) 377-5498
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 300662 Minnesota
Behavioral Health & Social Service Providers / Clinical 1041C0700X 07487 Minnesota

Profile Details

NPI number 1275612764
LBN Legal business name Anderson, Judith A Popp
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 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 1275612764 NPPES
Other 1011650 PREFERRED ONE
Other 0G631-PO PREFERRED ONE
Other 62-79619 PREFERRED ONE

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