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General NPI Number Information
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NPI Number | 1811222409
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Entity Type | Organization
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Legal Business Name | CATHERINE HOOD JUDKINS, PH.D., L.L.C.
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Dates
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Enumeration Date | 10/15/2009
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Last Update Date | 10/15/2009
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Provider Practice Location Address
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Address Line | 14500 S OUTER 40 RD SUITE 202
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City | CHESTERFIELD
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State | MO
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Zip | 63017-5780
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Country | US
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Telephone | 314-579-5040
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Fax | 314-579-5017
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Provider Business Mailing Address
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Address Line | 14500 S OUTER 40 RD SUITE 202
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City | CHESTERFIELD
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State | MO
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Zip | 63017-5780
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Country | US
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Telephone | 314-579-5040
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Fax | 314-579-5017
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Authorized Official
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Title or Position | LICENSED CLINICAL PSYCHOLOGIST
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Name | DR. CATHERINE JUDKINS
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Credential | PH.D.
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Telephone | 314-579-5040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 2002022105
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License Number State | MO
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