Bevis, Judith Anne

Bevis, Judith Anne is an sole proprietor health care provider with primary practice located at 40 South St Suite 201, Marblehead MA 01945-3282. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bevis, Judith Anne can be contacted via phone (781) 599-6582.

Contact Information

Primary practice address
40 South St Suite 201 Marblehead MA 01945-3282
Phone: (781) 599-6582
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4250 Massachusetts
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 4250 Massachusetts
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 4250 Massachusetts

Profile Details

NPI number 1194792226
LBN Legal business name Bevis, Judith Anne
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2006
Last updated Apr 1st, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194792226 NPPES
Massachusetts MEDICAID 0520217

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