MRS. JUDITH IRENE PEDERSON (NPI# 1932282787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932282787 |
| Entity Type | Individual |
| Full Name | MRS. JUDITH IRENE PEDERSON |
| Credential | LMFT |
| Practice Address |
430 S Andrew Dr Ne New London MN 56273 |
| Mailing Address |
430 S Andrew Dr Ne New London MN 56273-9579 |
| Practice Telephone | 3203542152 |
| Mailing Telephone | 3203542152 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 1022 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427032283 | Judith C Pederson | Pediatrics | 8700 Sudley Rd, Prince William Hospital, Manassas, VA 20110-4418 | 2005-12-05 |
| Street Address |
430 S ANDREW DR NE |
| City | NEW LONDON |
| State | MN |
| Zip Code | 56273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261812 | New London Family Dental | Dentist | 15 Ash St Se, New London, MN 56273 | 2020-10-09 |
| 1538612239 | Willow Creek Counseling LLC | Social Worker | 17 Ash Street, New London, MN 56273 | 2016-07-28 |
| 1033321351 | Living Services Foundation/ New London LLC | Home Health | 102 Glen Oaks Dr, New London, MN 56273 | 2007-05-07 |
| 1144380973 | City of New London | Ambulance | 20 1st Avenue Sw, New London, MN 56273 | 2006-12-11 |
| 1053481069 | Clarence William Walker | Psychologist | 17 Ash Street, N.e, Post Office Box 92, New London, MN 56273 | 2006-11-08 |
| 1972519213 | Amber O Vick | Family Medicine | 600 Peterson Parkway, Affiliated Community Medical Centers, New London, MN 56273 | 2006-07-31 |
| 1639263270 | David Steven Roberts | Physical Therapist | 7900 Chapin Dr Ne, Allergy, Asthma and Dermatology Clinic, New London, MN 56273 | 2006-10-03 |
| 1801342696 | Kristin Ann Schmidt | Counselor | 17 Ash Street, New London, MN 56273-0321 | 2016-08-31 |
| 1508933011 | Fischer Laser Eye Center, LLC | Optometrist | 61 Main St S, New London, MN 56273-5005 | 2006-11-29 |
| 1689293185 | Candace Jo Eck | Acupuncturist | 61 Main St S, New London, MN 56273-5005 | 2020-04-14 |
| Find all providers in zip 56273 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437701497 | Denyce Marie Martell | Marriage & Family Therapist | 154 Hempstead St Fl 2, New London, CT 06320-5638 | 2019-07-10 |
| 1265998298 | Rebecca Tydeman | Marriage & Family Therapist | 351 N Frontage Rd Ste 24, New London, CT 06320-2628 | 2019-02-14 |
| 1538566831 | Jamie P Thompson | Marriage & Family Therapist | 44381 Nc 740 Hwy, New London, NC 28127-9618 | 2014-12-02 |
| 1649681149 | Lucy Domenie Solari | Marriage & Family Therapist | 464 Ocean Ave Ste 300, New London, CT 06320-4544 | 2014-05-19 |
| 1437392545 | Claire A. Mcintyre | Marriage & Family Therapist | 165 State St Ste 220, New London, CT 06320-6304 | 2009-04-20 |
| 1902945314 | Tricia Elizabeth Capozza | Marriage & Family Therapist | 445 Ocean Ave, New London, CT 06320-4502 | 2007-02-05 |
| 1639267909 | Lisa Karen Pionke | Marriage & Family Therapist | Rmms - 1 Bulkeley Place, New London, CT 06320 | 2006-10-11 |
| 1598862153 | Judith Fabricant | Marriage & Family Therapist | 154 Hempstead St, New London, CT 06320-5638 | 2006-09-17 |
| 1598770448 | Dawn Meredith Zarycki | Marriage & Family Therapist | 7 Vauxhall Street, New London, CT 06320 | 2006-07-29 |
| 1780291260 | Roger G. Marinelli IIi | Marriage & Family Therapist | 154 Hempstead St, New London, CT 06320-5638 | 2020-09-28 |
| Find all providers in NEW LONDON | ||||
| City | NEW LONDON |
| Zip Code | 56273 |
Please comment or provide details below to improve the information on MRS. JUDITH IRENE PEDERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.