Keller, Judith

Keller, Judith is an individual health care provider with primary practice located at 3601 4Th St Suite 2A300, Lubbock TX 79430-0002. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Keller, Judith can be contacted via phone (806) 743-5678.

Contact Information

Primary practice address
3601 4Th St Suite 2A300 Lubbock TX 79430-0002
Fax: (806) 743-5670
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 15158 Texas

Profile Details

NPI number 1306824271
LBN Legal business name Keller, Judith
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2006
Last updated Jul 9th, 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 1306824271 NPPES
Texas Other 80778Z HMO BLUE
Texas MEDICAID Q6383 HMO BLUE
Texas Other 87071T HMO BLUE
Texas Other A123 HMO BLUE

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