Individual
DR. JUDITH C TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
46 GREEN MEADOWS LANE, LOUDONVILLE, NY 12211
(578) 489-3646
Mailing address
46 GREEN MEADOWS LANE, LOUDONVILLE, NY 12211
(578) 489-3646
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0090531
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012529
GHI
NY
Enumeration date
04/02/2007
Last updated
07/08/2007
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