NPI 1073815429 · live from the CMS NPI Registry
Judith Maria Bermudez, Ph.D., LMFT
Marriage & Family Therapist in Athens, GA. National Provider Identifier 1073815429, active.
NPI record
| NPI | 1073815429 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 455 N Lumpkin St, Athens, GA 30601 |
| Practice phone | 706-369-7911 |
| Mailing address | Po Box 1704, Athens, GA 30603 |
| Enumerated | November 17, 2010 |
| Last updated | November 17, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | MFT001113 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.