Judd, Brett M.

Judd, Brett M. is an individual health care provider with primary practice located at 611 Wilson Ave Ste 3A , Pocatello ID 83201-5046. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Technologists, Technicians & Other Technical Service Providers / EEG, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Judd, Brett M. can be contacted via phone (208) 904-3225.

Contact Information

Primary practice address
611 Wilson Ave Ste 3A Pocatello ID 83201-5046
Phone: (208) 904-3225
Fax: (208) 904-3227
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X LMSW-27751 Idaho
Technologists, Technicians & Other Technical Service Providers / EEG 246ZE0500X
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-38601 Idaho

Profile Details

NPI number 1821113895
LBN Legal business name Judd, Brett M.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Jun 15th, 2020 - about 4 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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