Individual
DR. JUDY CHANG GUMMELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
16 E 79TH ST, 4-1, NEW YORK, NY 10075-0150
(212) 861-4783
Mailing address
16 E 79TH ST, 4-1, NEW YORK, NY 10075-0150
(212) 861-4783
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
010366-1
NY
103TC0700X
Clinical Psychologist
1836
OR
103TC0700X
Clinical Psychologist
PSY18086
CA
Other
Enumeration date
05/04/2007
Last updated
04/28/2010
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