Doctor Name: | JUDITH LAWRENCE OUTTEN |
NPI Number: | 1174546592 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 28210 |
Business Practice Address: | 3914 Commerce Ave Willow Grove, PA - 19090 |
Business Phone Number: | 2154815450 |
Business Fax Number: | 2154815435 |
Mailing Address: | 3914 Commerce Ave, WILLOW GROVE |
State: | PA |
Postal Code: | 19090 |
Phone Number: | 2154815450 |
Fax Number: | 2154815435 |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 07/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0804X |
License Number: | 28210 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Child & Adolescent Psychiatry |
Taxonomy Definition: | Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |