| Doctor Name: | JUDY ANN HUDSON |
| NPI Number: | 1093776700 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | LCSW25912 |
| Business Practice Address: | 23057 Old Highway 30 Caldwell, ID - 836077785 |
| Business Phone Number: | 2088602345 |
| Business Fax Number: | 2084596921 |
| Mailing Address: | 16921 Oasis Rd, CALDWELL |
| State: | ID |
| Postal Code: | 836078687 |
| Phone Number: | 2088602345 |
| Fax Number: | 2084596921 |
| NPI Enumeration Date: | 03/31/2006 |
| NPI Last Update Date: | 02/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCSW25912 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |