MEDICARE: MRS. JUDY MOORE ORDEMANN M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	15586	TX
2	106H00000X	Marriage & Family Therapist	4694	TX

General Provider Information

NPI Number	:	1245436641
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JUDY MOORE ORDEMANN M.S.

Provider Business Mailing Address
First Line	:	7406 HILLWOOD LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75248-5242
Country	:	US
Telephone Number	:	972-774-1700
Fax Number	:

Provider Business Practice Location Address
First Line	:	6750 HILLCREST PLAZA DR
Second Line	:	SUITE 221
City	:	DALLAS
State	:	TX
Zip	:	75230-1400
Country	:	US
Telephone Number	:	972-375-2231
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2007
Last Update Date	:	09/11/2025

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