Bazin Judd, Diane Alice
Bazin Judd, Diane Alice is an individual health care provider with primary practice located at 160 Brainerd St , South Hadley MA 01075-1306. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bazin Judd, Diane Alice can be contacted via phone (413) 534-7772.Contact Information
Primary practice address
160 Brainerd St
South Hadley MA 01075-1306
Phone: (413) 534-7772
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 111131 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 005168 | Connecticut |
Profile Details
| NPI number | 1952436024 |
|---|---|
| LBN Legal business name | Bazin Judd, Diane Alice |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Aug 14th, 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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