Andriola, Judith Virginia

Andriola, Judith Virginia is an individual health care provider with primary practice located at 2225 County Road 90 Ste 215 , Pearland TX 77584-5111. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Andriola, Judith Virginia can be contacted via phone (281) 489-1290.

Contact Information

Primary practice address
2225 County Road 90 Ste 215 Pearland TX 77584-5111
Fax: (281) 489-8806
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X L29490 Texas
Behavioral Health & Social Service Providers / Counselor 101Y00000X 29490 Texas

Profile Details

NPI number 1710014006
LBN Legal business name Andriola, Judith Virginia
Credentials LICENSED CLINICAL SO
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Mar 25th, 2009 - about 15 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 1710014006 NPPES
Texas MEDICAID 170522002

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