| Doctor Name: | MRS. JUDITH ROBERTS |
| NPI Number: | 1033388285 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.M.H.C. |
| License Number: | MH5329 |
| Business Practice Address: | 10031 Pines Blvd Suite 248 Pembroke Pines, FL - 330246179 |
| Business Phone Number: | 3053086145 |
| Business Fax Number: | 9543929958 |
| Mailing Address: | 10031 Pines Blvd, Suite 248 PEMBROKE PINES |
| State: | FL |
| Postal Code: | 330246179 |
| Phone Number: | 3053086145 |
| Fax Number: | 9543929958 |
| NPI Enumeration Date: | 02/21/2008 |
| NPI Last Update Date: | 02/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH5329 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |