Provider Demographics
NPI:1801689518
Name:RICHARDSON, JUDITH ANN
Entity type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:ANN
Last Name:RICHARDSON
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:JUDITH
Other - Middle Name:ANN
Other - Last Name:MCAULIFFE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:160 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:URBANA
Mailing Address - State:OH
Mailing Address - Zip Code:43078-2019
Mailing Address - Country:US
Mailing Address - Phone:937-777-7702
Mailing Address - Fax:
Practice Address - Street 1:160 W MARKET ST
Practice Address - Street 2:
Practice Address - City:URBANA
Practice Address - State:OH
Practice Address - Zip Code:43078-2019
Practice Address - Country:US
Practice Address - Phone:937-777-7702
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-26
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator