Southard, Judith H
Southard, Judith H is an sole proprietor health care provider with primary practice located at 814 E Wisconsin Ave , Deland FL 32724-4557. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Southard, Judith H can be contacted via phone (386) 848-1873.Contact Information
Primary practice address
814 E Wisconsin Ave
Deland FL 32724-4557
Phone: (386) 848-1873
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 6000 | Florida |
Profile Details
| NPI number | 1952335093 |
|---|---|
| LBN Legal business name | Southard, Judith H |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 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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