Organization
JD PSYCHOLOGICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH DAVIDSON PHD (OWNER)
(203) 800-8614
Entity
Organization
Contact information
Practice address
10 LOWER CMNS, WOODBURY, CT 06798-3219
(203) 417-4472
Mailing address
10 LOWER CMNS, WOODBURY, CT 06798-3219
(203) 417-4472
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1649
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649
PROFESSIONAL LICENSE
CT
Enumeration date
11/19/2015
Last updated
12/04/2024
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