Doctor Name: | DR. JUDITH POOL MADISON |
NPI Number: | 1043319825 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | PS007168L |
Business Practice Address: | 4008 Friars View Drive Northampton, PA - 180679535 |
Business Phone Number: | 6107036993 |
Business Fax Number: | 6107674170 |
Mailing Address: | 4008 Friars View Dr, NORTHAMPTON |
State: | PA |
Postal Code: | 180679535 |
Phone Number: | 6107036993 |
Fax Number: | 6107674170 |
NPI Enumeration Date: | 09/21/2006 |
NPI Last Update Date: | 10/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | PS007168L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |