Doctor Name: | MS. JUDITH GRETCHEN OGDEN |
NPI Number: | 1093976763 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMFT |
License Number: | 0760 |
Business Practice Address: | 2203 Monterey Dr South Lake Tahoe, CA - 961506729 |
Business Phone Number: | 5305448580 |
Business Fax Number: | |
Mailing Address: | Po Box 8285, SOUTH LAKE TAHOE |
State: | CA |
Postal Code: | 961581285 |
Phone Number: | 5305448580 |
Fax Number: | |
NPI Enumeration Date: | 06/24/2008 |
NPI Last Update Date: | 06/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 0760 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |