Provider Demographics
NPI:1861792319
Name:TAUB, JUDY
Entity type:Individual
Prefix:
First Name:JUDY
Middle Name:
Last Name:TAUB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JUDY
Other - Middle Name:
Other - Last Name:TAUB BABITZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1538 WILD ROSE CT
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80403-7773
Mailing Address - Country:US
Mailing Address - Phone:720-840-6553
Mailing Address - Fax:720-840-6553
Practice Address - Street 1:2401 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-4108
Practice Address - Country:US
Practice Address - Phone:303-492-1780
Practice Address - Fax:303-735-1900
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-01
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9918971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical