Individual
MR. THEODORE LEWIS JUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
12 BELLWETHER WAY, SUITE 223, BELLINGHAM, WA 98225-2959
(360) 255-2505
(360) 255-2504
Mailing address
12 BELLWETHER WAY, STE 223, BELLINGHAM, WA 98225-2914
(360) 543-8333
(360) 543-8332
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00000736
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7115900
—
WA
Enumeration date
06/27/2006
Last updated
04/03/2019
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