| Judith Anne Tully | |
|
4001 Preston Avenue Suite 145 Pasadena TX 77505 | |
| (832) 672-6318 | |
| (832) 672-6319 |
| Full Name | Judith Anne Tully |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4001 Preston Avenue, Pasadena, Texas |
| Authorized Official Name and Position | Judith Anne Tully (SOLE PROPRIETOR) |
| Authorized Official Contact | 8326291138 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Judith Anne Tully Po Box 1298 Pasadena TX 77501 Ph: (832) 672-6318 | Judith Anne Tully 4001 Preston Avenue Suite 145 Pasadena TX 77505 Ph: (832) 672-6318 |
| NPI Number | 1194737502 |
|---|---|
| Provider Enumeration Date | 08/13/2006 |
| Last Update Date | 12/14/2022 |
| Certification Date | 12/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194737502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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