Rendely, Judith
Rendely, Judith is an sole proprietor health care provider with primary practice located at 33 Bedford St Ste 1 , Lexington MA 02420-4401. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rendely, Judith can be contacted via phone (781) 863-8888.Contact Information
Primary practice address
33 Bedford St Ste 1
Lexington MA 02420-4401
Phone: (781) 863-8888
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2682 | Massachusetts |
Profile Details
| NPI number | 1467518506 |
|---|---|
| LBN Legal business name | Rendely, Judith |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467518506 | NPPES |
| Massachusetts | Other | WO2807 | BLUE CROSS BLUE SHIELD ID |
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