| Doctor Name: | DR. JUDY L O'LEARY-SARGEANT |
| NPI Number: | 1013098847 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 014378 |
| Business Practice Address: | 21 Willow Pond Way Suite 210 Penfield, NY - 145262687 |
| Business Phone Number: | 5853773550 |
| Business Fax Number: | 5853773553 |
| Mailing Address: | 21 Willow Pond Way, Suite 210 PENFIELD |
| State: | NY |
| Postal Code: | 145262687 |
| Phone Number: | 5853773550 |
| Fax Number: | 5853773553 |
| NPI Enumeration Date: | 10/18/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 014378 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |