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
Phone: (281) 489-1290
Fax: (281) 489-8806
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1710014006 | NPPES |
Texas | MEDICAID | 170522002 |
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