Doctor Name: | JUDITH ANN RICKARD |
NPI Number: | 1033277785 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 31971 |
Business Practice Address: | 2007 N Collins Blvd Ste 409 Richardson, TX - 750802665 |
Business Phone Number: | 9728805139 |
Business Fax Number: | |
Mailing Address: | 2611 Quail Hollow Dr, SACHSE |
State: | TX |
Postal Code: | 750482138 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/05/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 31971 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |