Ms. Judith Canvasser Redmond
Clinical Psychologist
441 S Livernois Rd
Rochester Hills
, Michigan 48307-2584
Ms. Judith Canvasser Redmond
Clinical Psychologist
441 S Livernois Rd
Rochester Hills
, Michigan 48307-2584
(248) 608-2490
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Ms. Judith Canvasser Redmond
- 35315 Regency Ln
- Farmington Hills, MI
- Zip : 48331-1453
- Fax : (248) 608-2490
- Phone : (248) 661-5148
Second Address
- Ms. Judith Canvasser Redmond
- 441 S Livernois Rd
- Rochester Hills, MI
- Zip : 48307-2584
- Fax : (248) 608-2490
- Phone : (248) 608-8800
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Is Ms. Judith Canvasser Redmond a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 6301013138 | MI |
| Y | 103TC0700X | Clinical Psychologist | 6301013138 | MI |
National Provider Identifier
| NPI | 1003947813 |
|---|---|
| Provider Name | Ms. Judith Canvasser Redmond |
| First Address | Farmington Hills, MI 48331-1453 |
| Second Address | Rochester Hills, MI 48307-2584 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/03/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 6401008645 | PROFRESSIONAL COUNSELOR L (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.