Judson, Timothy Alan
Judson, Timothy Alan is an individual health care provider with primary practice located at 920 E Baltimore Pike , Kennett Square PA 19348-1800. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Judson, Timothy Alan can be contacted via phone (610) 388-9225.Contact Information
Primary practice address
920 E Baltimore Pike
Kennett Square PA 19348-1800
Phone: (610) 388-9225
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CW022200 | Pennsylvania |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | SW135513 | Pennsylvania |
Profile Details
| NPI number | 1225679145 |
|---|---|
| LBN Legal business name | Judson, Timothy Alan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2019 |
| Last updated | Jul 13th, 2022 - about 4 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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