Doctor Name: | DR. JUDITH MARKEY |
NPI Number: | 1164734323 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | 048.0052907 |
Business Practice Address: | 357 Western Ave St Johnsbury, VT - 058192769 |
Business Phone Number: | 8027519347 |
Business Fax Number: | |
Mailing Address: | 357 Western Ave, ST JOHNSBURY |
State: | VT |
Postal Code: | 058192769 |
Phone Number: | 8027519347 |
Fax Number: | |
NPI Enumeration Date: | 07/05/2010 |
NPI Last Update Date: | 07/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 048.0052907 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |