# ELIZABETH JUDD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831858562
- **Authorized official:** ELIZABETH JUDD (OWNER)
- **Authorized official phone:** (314) 606-9467

## Contact information

- **Practice address:** 2025 S BRENTWOOD BLVD STE 202, BRENTWOOD, MO 63144-1851
- **Practice address phone:** (314) 606-9467
- **Mailing address:** 2025 S BRENTWOOD BLVD STE 202, BRENTWOOD, MO 63144-1851

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/09/2021
- **Last updated:** 12/09/2021