Provider Demographics
NPI:1902497654
Name:STARR, JUDITH ANN
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:ANN
Last Name:STARR
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:JUDITH
Other - Middle Name:ANN
Other - Last Name:STARR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:HOUSING CLINICIAN
Mailing Address - Street 1:17120 SE 276TH ST APT B615
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98042-4588
Mailing Address - Country:US
Mailing Address - Phone:253-329-3852
Mailing Address - Fax:
Practice Address - Street 1:2329 RAINIER AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-5302
Practice Address - Country:US
Practice Address - Phone:243-329-3852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-26
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor