Individual
JUDITH D. DEPUE
Active
Individual
JUDITH D. DEPUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PS00393
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30528-2
BCBS RI
RI
01
—
411472
BLUECHIP
RI
Enumeration date
01/08/2006
Last updated
05/22/2008
Update your record
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