Individual
DR. JUDITH POOL MADISON
Active
Individual
DR. JUDITH POOL MADISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PS007168L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01080301
CAPITAL BLUE CROSS
PA
01
—
02624300
CAPITAL BLUE CROSS
PA
01
—
50045686
CAPITAL BLUE CROSS
PA
Enumeration date
09/21/2006
Last updated
10/09/2007
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