Individual
MS. JUDITH K CAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
1150 E WALNUT ST, SPRINGFIELD, MO 65806-2607
(417) 863-0021
(417) 863-0021
Mailing address
1150 E WALNUT ST, SPRINGFIELD, MO 65806-2607
(417) 863-0021
(417) 863-0021
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2002011100
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
499035616
—
MO
Enumeration date
10/29/2007
Last updated
09/11/2014
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