| Judith Cain | |
|
1206 Homelife Dr. Rolla MO 65401 | |
| (357) 364-2007 | |
| (573) 364-8695 |
| Full Name | Judith Cain |
|---|---|
| Speciality | Psychologist |
| Location | 1206 Homelife Dr., Rolla, Missouri |
| Authorized Official Name and Position | Katherine R. Hunter (CLINIC COORDINATOR) |
| Authorized Official Contact | 5733642007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Judith Cain 1206 Homelife Dr. Rolla MO 65401 Ph: (357) 364-2007 | Judith Cain 1206 Homelife Dr. Rolla MO 65401 Ph: (357) 364-2007 |
| NPI Number | 1376648725 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 07/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376648725 | NPI | - | NPPES |
| 499035616 | Medicaid | MO | |
| 20020110 | Other | MO | MO STATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 20020110 (Missouri) | Primary |
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