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Timothy Hart Judd
Mental Health Counselor in Berwyn, Illinois
NPI 1346875234

Timothy Hart Judd is a Mental Health Counselor based in Berwyn, IL and is specialized in Mental Health. Timothy Hart Judd practices in Berwyn, IL. The NPI Number for Timothy Hart Judd is 1346875234 and holds a License No. (Illinois).

The current practice location address for Timothy Hart Judd is 3210 Home Ave, Berwyn, IL and can be reached out via phone at 773-633-9508.

Location: 3210 Home Ave, Berwyn, IL, 60402-2912
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346875234
Provider Name
Timothy Hart Judd
Credential
Provider Entity Type
Individual
Gender
Male
Address
3210 Home Ave, Berwyn, IL, 60402-2912
Phone Number
773-633-9508
Fax Number
Provider Enumeration Date
03/11/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3210 Home Ave
City
Berwyn
State
Illinois
Zip
60402-2912
Phone Number
773-633-9508
Fax Number
person
Provider Business Mailing Address Details
Address
3210 Home Ave
City
Berwyn
State
Illinois
Zip
60402-2912
Phone Number
773-633-9508
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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