Haynes, Judith Ann

Haynes, Judith Ann is an individual health care provider with primary practice located at 1407 24Th Ave S , Grand Forks ND 58201-6761. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Haynes, Judith Ann can be contacted via phone (701) 746-6336.

Contact Information

Primary practice address
1407 24Th Ave S Grand Forks ND 58201-6761
Phone: (701) 746-6336
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 176 North Dakota

Profile Details

NPI number 1902992324
LBN Legal business name Haynes, Judith Ann
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 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 1902992324 NPPES
North Dakota Other 085222 VALUE OPTIONS
North Dakota MEDICAID 12892 VALUE OPTIONS
North Dakota Other 24741 VALUE OPTIONS
North Dakota Other 638K4HA VALUE OPTIONS

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