Derriso, Judith Loudon
Derriso, Judith Loudon is an individual health care provider with primary practice located at 308 Coliseum Dr Suite 120, Macon GA 31217-3865. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Derriso, Judith Loudon can be contacted via phone (478) 745-6130.Contact Information
Primary practice address
308 Coliseum Dr Suite 120
Macon GA 31217-3865
Phone: (478) 745-6130
Fax: (478) 745-4443
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 426 | Georgia |
Profile Details
| NPI number | 1437148426 |
|---|---|
| LBN Legal business name | Derriso, Judith Loudon |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Feb 11th, 2010 - about 16 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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