Individual
JUDITH KAREN ECKSTEIN
Active
Individual
JUDITH KAREN ECKSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
C0710
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148817
—
OR
01
—
816113003
REGENCE BLUE CROSS BLUE SHIELD
OR
Enumeration date
01/10/2007
Last updated
03/28/2016
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