DR. JUDITH G TUDIVER PH.D. NPI 1316940182

NPI Information

NPI: 1316940182
Provider Name: DR. JUDITH G TUDIVER, PH.D.
Classification: Psychologist - 103TB0200X
Entity Type: Individual

Specialization: Cognitive & Behavioral

Address:
415 E UNAKA AVE
JOHNSON CITY, TN
ZIP 37601
Phone: (423) 341-4752
Get Directions

DR. Judith G Tudiver, PH.D. is a cognitive and behavioral psychologist in Johnson City, TN. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. DR. Judith G Tudiver, PH.D. NPI is 1316940182. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

415 E UNAKA AVE
JOHNSON CITY, TN
ZIP 37601-030
Phone: (423) 341-4752
Fax: (423) 283-0931

The enumeration date for this NPI number is 5/24/2005 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TB0200X	Psychologist	Cognitive & Behavioral	P0000002479	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3982954	MEDICAID	TENNESSEE
2	4065358	OTHER	TENNESSEE	BS PIN-UNAKA ADDRESS
3	010300860	MEDICAID	VIRGINIA
4	229346	OTHER	TENNESSEE	COMPSYCH
5	7270161	OTHER	TENNESSEE	AETNA PIN
6	4065358	OTHER	TENNESSEE	BC BS TN PIN
7	540270000	OTHER	TENNESSEE	MAGELLAN MIS
8	3982954	MEDICARE PIN	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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