Individual
CAITLIN ANGELA JUDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
400 SUNRISE HWY, AMITYVILLE, NY 11701-2508
(631) 264-4000
(631) 396-0382
Mailing address
13 REGENT PL, ROSLYN, NY 11576-2022
(516) 721-4131
(631) 396-0382
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
010928-01
NY
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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