Provider Demographics
NPI:1396843793
Name:KEE, JUDITH ELLEN (MSW)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:ELLEN
Last Name:KEE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 ARNOLD CIR
Mailing Address - Street 2:SUITE 6
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-2250
Mailing Address - Country:US
Mailing Address - Phone:617-492-4324
Mailing Address - Fax:
Practice Address - Street 1:1 ARNOLD CIR
Practice Address - Street 2:SUITE #6
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-2250
Practice Address - Country:US
Practice Address - Phone:617-492-4324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1043731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP02662OtherBLUECROSS BLUESHIELD