Doctor Name: | MS. JUDY OSBORNE |
NPI Number: | 1033164769 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMFT LMHC MA CAGS |
License Number: | 365 |
Business Practice Address: | 1368 Beacon St #108 Brookline, MA - 02446 |
Business Phone Number: | 6177315767 |
Business Fax Number: | |
Mailing Address: | 1368 Beacon St, #108 BROOKLINE |
State: | MA |
Postal Code: | 02446 |
Phone Number: | 6177315767 |
Fax Number: | |
NPI Enumeration Date: | 05/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 365 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |