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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

JUDITH A TATE, LSW
8627 WHEELER AVE
FONTANA, CA92335-3854
 Phone: 909-823-0609
 Fax: 909-823-4187
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for JUDITH A TATE · (Female)

NPI Number 1003007261
Status Active
Credentials LSW (Licensed Social Workers)
Entity Individual
Enumeration date 08/05/2007
Last updated 08/05/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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