Jorgensen, Judith M

Jorgensen, Judith M is an sole proprietor health care provider with primary practice located at 17 Wall St , Madison CT 06443-3122. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Jorgensen, Judith M can be contacted via phone (203) 318-0742.

Contact Information

Primary practice address
17 Wall St Madison CT 06443-3122
Phone: (203) 318-0742
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 001500 Connecticut
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20010513A Indiana

Profile Details

NPI number 1861610479
LBN Legal business name Jorgensen, Judith M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2007
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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