Provider Demographics
NPI:1053633404
Name:SWITZER, JUDY VEE (BA)
Entity Type:Individual
Prefix:MS
First Name:JUDY
Middle Name:VEE
Last Name:SWITZER
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 PORTAGE ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49001-6900
Mailing Address - Country:US
Mailing Address - Phone:269-226-8610
Mailing Address - Fax:
Practice Address - Street 1:4000 PORTAGE ST
Practice Address - Street 2:SUITE 110
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49001-6900
Practice Address - Country:US
Practice Address - Phone:269-226-8610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-25
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401003802101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional