MEDICARE: MS. JUDITH MOSIER CORRIGAN LPC

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	101YM0800X	Mental Health Counselor	16352	TX

General Provider Information

NPI Number	:	1003999442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JUDITH MOSIER CORRIGAN LPC

Provider Business Mailing Address
First Line	:	8607 HIDDEN OAKS DR
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76502-4604
Country	:	US
Telephone Number	:	512-468-8279
Fax Number	:

Provider Business Practice Location Address
First Line	:	8607 HIDDEN OAKS DR
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76502-4604
Country	:	US
Telephone Number	:	512-468-8279
Fax Number	:

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

Provider Enumeration Date	:	10/21/2006
Last Update Date	:	03/12/2024

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