Provider Demographics
NPI:1710327390
Name:RINTOUL, JUDY DUNCAN (JD)
Entity Type:Individual
Prefix:MS
First Name:JUDY
Middle Name:DUNCAN
Last Name:RINTOUL
Suffix:
Gender:F
Credentials:JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1953
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97339-1953
Mailing Address - Country:US
Mailing Address - Phone:860-202-7344
Mailing Address - Fax:
Practice Address - Street 1:3710 NW TYLER PL
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-4939
Practice Address - Country:US
Practice Address - Phone:860-202-7344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-27
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist