Provider Demographics
NPI:1639216831
Name:CASE, JUDITH KAY (MS LMLP LCP)
Entity Type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:KAY
Last Name:CASE
Suffix:
Gender:F
Credentials:MS LMLP LCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2716 BURELNY DR
Mailing Address - Street 2:
Mailing Address - City:HUYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601
Mailing Address - Country:US
Mailing Address - Phone:785-628-6859
Mailing Address - Fax:
Practice Address - Street 1:HIGH PLAINS MENTAL HEALTH CENTER
Practice Address - Street 2:208 E 7TH
Practice Address - City:HUYS
Practice Address - State:KS
Practice Address - Zip Code:67601
Practice Address - Country:US
Practice Address - Phone:785-628-2871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLMLP0291103T00000X
KSLCP285103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist