Provider Demographics
NPI:1568645372
Name:HUBERS-BRANDT, JUDITH EILEEN (MS)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:EILEEN
Last Name:HUBERS-BRANDT
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 SCENIC DRIVE
Mailing Address - Street 2:BLDG. 3
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95350
Mailing Address - Country:US
Mailing Address - Phone:209-558-8801
Mailing Address - Fax:
Practice Address - Street 1:830 SCENIC DRIVE
Practice Address - Street 2:BLDG. 3
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350
Practice Address - Country:US
Practice Address - Phone:209-558-8801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-14
Last Update Date:2007-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator