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Individual

DR. JUDITH POOL MADISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
4008 FRIARS VIEW DRIVE, NORTHAMPTON, PA 18067-9535
(610) 703-6993
(610) 767-4170
Mailing address
4008 FRIARS VIEW DR, NORTHAMPTON, PA 18067-9535
(610) 703-6993
(610) 767-4170

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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