Doctor Name: | MS. JUDITH HAKAM |
NPI Number: | 1164585824 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ACSW, LCSW |
License Number: | PR030827-1 |
Business Practice Address: | 134 Main St Suite 2b New Paltz, NY - 125611128 |
Business Phone Number: | 8452554166 |
Business Fax Number: | 8452554166 |
Mailing Address: | 134 Main St, Suite 2b NEW PALTZ |
State: | NY |
Postal Code: | 125611128 |
Phone Number: | 8452554166 |
Fax Number: | 8452554166 |
NPI Enumeration Date: | 12/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | PR030827-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |