DR. JUDITH LANDAU M.DDPM LMFT BRII NPI 1154447159

NPI Information

NPI: 1154447159
Provider Name: DR. JUDITH LANDAU, M.D,DPM, LMFT, BRII,
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2737 MAPLETON AVE STE 103
BOULDER, CO
ZIP 80304
Phone: (303) 442-3755
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DR. Judith Landau, M.D,DPM, LMFT, BRII, is an addiction (substance use disorder) counselor in Boulder, CO. DR. Judith Landau, M.D,DPM, LMFT, BRII, NPI is 1154447159. 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:

2737 MAPLETON AVE STE 103
BOULDER, CO
ZIP 80304-836
Phone: (303) 442-3755

The enumeration date for this NPI number is 3/21/2007 and was last updated on 7/8/2007.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes
2	101YM0800X	Counselor	Mental Health			X
3	101YP2500X	Counselor	Professional			X
4	103T00000X	Psychologist				X
5	103TA0400X	Psychologist	Addiction (Substance Use Disorder)			X
6	103TB0200X	Psychologist	Cognitive & Behavioral			X
7	103TC1900X	Psychologist	Counseling			X
8	103TC2200X	Psychologist	Clinical Child & Adolescent			X
9	103TF0000X	Psychologist	Family			X
10	103TP2701X	Psychologist	Group Psychotherapy			X
11	106H00000X	Marriage & Family Therapist		06-000416	NEW YORK	X

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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