| Doctor Name: | JUDITH A CHITTICK |
| NPI Number: | 1356395727 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RNC, BES, MBA |
| License Number: | 1059599 |
| Business Practice Address: | 1201 S Fort Thomas Ave Fort Thomas, KY - 410752421 |
| Business Phone Number: | 8597813956 |
| Business Fax Number: | 8597812171 |
| Mailing Address: | 502 Farrell Dr, COVINGTON |
| State: | KY |
| Postal Code: | 410113717 |
| Phone Number: | 8593313292 |
| Fax Number: | 8595782864 |
| NPI Enumeration Date: | 05/20/2006 |
| NPI Last Update Date: | 02/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | 1059599 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |