Individual
DR. JUDITH G. DEDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1453 E BROAD ST, WESTFIELD, NJ 07090-1131
(908) 233-7139
Mailing address
1453 E BROAD ST, WESTFIELD, NJ 07090-1131
(908) 233-7139
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
35SI00170800
NJ
103TC0700X
Clinical Psychologist
Primary
35SI00170800
NJ
Other
Enumeration date
07/13/2008
Last updated
07/13/2008
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