Doctor Name: | JUDITH R HEDRICK |
NPI Number: | 1013018456 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 0904006005 |
Business Practice Address: | 2215 Langhorne Rd Suite 104 Lynchburg, VA - 245011121 |
Business Phone Number: | 4344553047 |
Business Fax Number: | 4349484918 |
Mailing Address: | 2215 Langhorne Rd, Suite 104 LYNCHBURG |
State: | VA |
Postal Code: | 245011121 |
Phone Number: | 4344553047 |
Fax Number: | 4349484918 |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 03/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 0904006005 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |