Doctor Name: | JUDITH ANN BARON |
NPI Number: | 1235433509 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.H.C. |
License Number: | MH7678 |
Business Practice Address: | 2117 Whitney Pl Valrico, FL - 335944161 |
Business Phone Number: | 8132452483 |
Business Fax Number: | |
Mailing Address: | 2117 Whitney Pl, VALRICO |
State: | FL |
Postal Code: | 335944161 |
Phone Number: | 8132452483 |
Fax Number: | |
NPI Enumeration Date: | 12/30/2010 |
NPI Last Update Date: | 12/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH7678 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |