Van Der Wende, Judy
Van Der Wende, Judy is an sole proprietor health care provider with primary practice located at 3695 Alamo St Suite 200, Simi Valley CA 93063-2188. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Van Der Wende, Judy can be contacted via phone (805) 407-4730.Contact Information
Primary practice address
3695 Alamo St Suite 200
Simi Valley CA 93063-2188
Phone: (805) 407-4730
Fax: (805) 581-0889
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY18757 | California |
Profile Details
| NPI number | 1508928383 |
|---|---|
| LBN Legal business name | Van Der Wende, Judy |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 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.
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