Judee H Carrico
Individual provider Active NPI Other Specialist/Technologist · Montrose, CA
NPI 1801305503 · NPPES record last updated Sep 25, 2017
Key facts
- NPI
- 1801305503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Specialist/Technologist 246Z00000X
- Practice address
- 2032 Thompson CT Ste 12
Montrose, CA 91020-1652 - Phone
- (818) 249-5489
- NPI assigned
- Sep 25, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | Yes |
Addresses
Primary practice location
2032 Thompson CT Ste 12
Montrose, CA 91020-1652
Mailing address
2746 El Caminito
La Crescenta, CA 91214-2932
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6253 | Other | CA | ELECTROLOGIST LICENSE |
Other providers in Montrose, CA
- Bryan Haas DC, Inc.
- Bullos Laboratories Inc
- Todd Jacob Burgener
- Calm Mind Therapy, a Licensed Clinical Social Worker Corporation
- Cynthia Cancelosi
- Catalia Hospice, Inc
- Center for Better Hearing and Speech
- Sophia Chang
- Chat Room Speech-Language Pathology Apc
- Steven Chen
All providers in Montrose, CA · Other Specialist/Technologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.