Individual
MS. JUDITH TEICHOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
34 BARBERRY RD, LEXINGTON, MA 02421-8032
(781) 861-7569
Mailing address
34 BARBERRY RD, LEXINGTON, MA 02421-8032
(781) 861-7569
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2015-PY-PR
MA
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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