Individual
DR. JENNIFER E. JUDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D,
Contact information
Practice address
12 CENTURY HILL DR STE 105, LATHAM, NY 12110-2123
(518) 351-7883
(518) 708-8055
Mailing address
9 FIELDSTONE DR, DELMAR, NY 12054-6703
(518) 229-5459
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
015497-1
NY
Other
Enumeration date
01/12/2011
Last updated
10/12/2018
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