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NPI Code Detail

MEDICARE: JUDITH MCCORD

MEDICARE:   JUDITH  MCCORD
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
1106H00000XMarriage & Family TherapistLMFT25678CA

General Provider Information

NPI Number : 1831028422
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDITH MCCORD
Provider Business Mailing Address
First Line : 701 ADELYN DR
Second Line :
City : SAN GABRIEL
State : CA
Zip : 91775-2803
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 867 ATCHISON ST
Second Line :
City : PASADENA
State : CA
Zip : 91104-2314
Country : US
Telephone Number : 626-798-0915
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “ JUDITH MCCORD ” Practice Location

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